Abstract
Background
Giant cysts of the liver are uncommon and usually asymptomatic and can be left
untreated. When symptoms develop the cyst is enlarging with a mass effect and
treatment, either surgical or percutaneous, is necessary.
Objective
To highlight the role of robotic surgery in the treatment of giant hepatic cyst.
Case report
A 73-year-old man presented to our Clinic with a recent history of an enlarging
abdominal mass and some abdominal discomfort. An U/S and a CT scan of the
abdomen with contrast showed a giant hepatic simple cyst. The serology for an
hidatid disease was negative. Surgery revealed an exophytic giant simple hepatic cyst arising from liver segment V
that drained 4 liters of serous fluid.
Conclusion
Simple hepatic cysts are usually asymptomatic and can develop symptoms when
enlarge. They should be considered in the differential diagnosis of
intraabdominal masses.
Keywords:
Robotic surgery, giant hepatic cyst, drainage, wide excision |
