A case of giant liver cyst in an elderly patient successfully treated with creation of a marsupialization

Abstract

A 90-year-old male was admitted to the hospital with the chief complaint of fever and vomiting. Close examination established a diagnosis of upper gastrointestinal tract obstruction due to a large liver cyst of 18×15×10 cm causing to develop vomiting and aspiration pneumonia. In view of his age and surgical invasiveness, he was treated with creation of a fistula between the cyst of the liver and the skin under local anesthesia. His postoperative course was uneventful, and he was discharged in good condition on the 41st day after the operation. This case is presented to show the creation of a hepato-cutaneous fistula (marsupialization) to be very useful for the treatment of symptomatic liver cysts in older patients.