A CASE OF INFECTIOUS HEPATIC CYST RESECTED

Abstract

A 67-year-old woman was admitted to the hospital because of worsening right hypochondralgia and fever lasting since March 14, 2000. Imaging procedures disclosed multiple cysts in the liver, and especially a cyst in the posterior segment was 12cm in longer diameter and contained debris in it. So infectious hepatic cyst was diagnosed. No communication with the bile duct was seen. Percutaneous drainage (causative organism was Staphylococcus aureus) provided a transient symptomatic remission, but the symptoms recurred. We determined that the case was resistant to conservative therapy and performed a laparotomy. It revealed that the cystic lesion did not expose on the hepatic surface and fenestration was impossible, so that a partial hepatectomy (S67) was performed.
Hepatic cyst is an everyday disease and is scarcely subjected to therapy. In instance in which infection is associated, however, conservative therapies including percutaneous drainage are carried out. When those therapies are unsuccessful, fenestration procedure is selected. In this case we were able to conduct a partial hepatectomy with a good outcome, because the cystic wall had not exposed on the surface of the liver.