Obstructive Jaundice Caused by Non-Parasitic Hepatic Cyst Treated with Percutaneous Drainage and Instillation of Minocycline Hydrochloride as a Sclerosing Agent

Kojiro YOSHIHARA; Seiji YAMASHIRO; Shunzo KOIZUMI; Yoshitomo MATSUO; Jun-ichiro SHIGERU; Sumiko KANEGAE; Yasutomo ODA

doi:10.2169/internalmedicine.35.373

Kojiro YOSHIHARA, Seiji YAMASHIRO, Shunzo KOIZUMI, Yoshitomo MATSUO, Jun-ichiro SHIGERU, Sumiko KANEGAE, Yasutomo ODA

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Keywords: non-parasitic hepatic cyst, obstructive jaundice, sclerotherapy, minocycline hydrochloride

JOURNAL FREE ACCESS

1996 Volume 35 Issue 5 Pages 373-375

DOI https://doi.org/10.2169/internalmedicine.35.373

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Abstract

We report a case of obstructive jaundice caused by a large hepatic cyst which was successfully treated by percutaneous drainage and instillation of minocycline hydrochloride. An 88-year-old man presented with obstructive jaundice and upper abdominal fullness. Abdominal CT and ultrasonography revealed a large hepatic cyst and intrahepatic bile duct dilatation. After the percutaneous drainage of the cyst, minocycline hydrochloride was instilled as a sclerosant via a catheter into the cyst cavity. Liver enzyme levels returned to normal and the jaundice disappeared. Nine months after the treatment, the large cyst and dilatation of the intrahepatic bile duct had disappeared. The patient has remained healthy without symptoms.
(Internal Medicine 35: 373-375, 1996)

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