Biliary mucinous cystic neoplasm mimicking a hydatid cyst: a case report and literature review
| Autor: | Tsafrir Vanounou, Yifan Wang, Olga Aleynikova, Côme Tholomier, Jean-Sebastien Pelletier |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Echinococcosis Hepatic medicine.medical_treatment Biliary cystadenoma Hydatid cyst Case Report Biliary mucinous cystic neoplasm Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Internal medicine Cystadenoma Mucinous medicine Humans lcsh:RC799-869 Mucinous cystadenoma Investigation Right upper quadrant pain business.industry Optimal treatment Liver Neoplasms Gastroenterology General Medicine Hepatology medicine.disease Hydatid disease Cystic Neoplasm Management 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology lcsh:Diseases of the digestive system. Gastroenterology Female Radiology Surveillance imaging Hepatectomy business Tomography X-Ray Computed |
| Zdroj: | BMC Gastroenterology BMC Gastroenterology, Vol 19, Iss 1, Pp 1-8 (2019) |
| ISSN: | 1471-230X |
| Popis: | Background Biliary mucinous cystic neoplasms are rare cystic lesions of the liver which carry pre-malignant potential. Given the scarcity of reports in the literature, they pose a considerable challenge to clinical management, particularly with regards to accurate pre-operative diagnosis. Case presentation We present the case of a 37-year-old Tunisian woman who presented with subacute right upper quadrant pain and a large multi-loculated cystic lesion, most consistent with a hydatid cyst. She underwent an open right hepatectomy, and pathology surprisingly revealed a biliary mucinous cystadenoma. Herein, we review the current literature on biliary mucinous cystic neoplasms, with a particular emphasis on diagnostic investigations, key radiological features and optimal treatment modalities. Conclusion Biliary mucinous cystic neoplasms require a high index of suspicion and should be managed with complete surgical resection, as conservative techniques are associated with high recurrence rates. Considering the potential for malignant transformation, periodical surveillance imaging is recommended in the post-operative period. |
| Databáze: | OpenAIRE |
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