A Case of Giant Infected Liver Cyst

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  • TANAKA Toshiki
    Department of Surgery, Hikari Municipal Hikari General Hospital
  • TAKENAKA Hiroaki
    Department of Surgery, Hikari Municipal Hikari General Hospital
  • HAYASHI Masanori
    Department of Surgery, Hikari Municipal Hikari General Hospital
  • ONODA Masahiko
    Department of Surgery, Hikari Municipal Hikari General Hospital
  • MORITA Nobuyoshi
    Department of Surgery, Hikari Municipal Hikari General Hospital
  • HAMANO Kimikazu
    Department of Surgery I. and Digital Bio-information Medicine, Yamaguchi University School of Medicine

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Other Title
  • 巨大感染性肝嚢胞の一例
  • キョダイ カンセンセイ カン ノウホウ ノ イチレイ

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A 56-year-old woman was admitted for upper abdominal pain of 2 days'duration. After admission, she developed a high-grade fever, and her white blood cell count and C-reactive protein level were elevated. Abdominal computed tomography and magnetic resonance images revealed a homogenous thick-walled cystic lesion measuring 21 cm in diameter in the left lobe of the liver. The lesion was diagnosed as an infected liver cyst. Because antibiotic treatment for inflammation and percutaneous transhepatic drainage were unsuccessful, we performed surgical fenestration of the liver cyst. Liver plasty with suturing was performed to restore the shape of the liver, which was deformed by the fenestration procedure, and prevent adhesion of intraperitoneal organs. The postoperative course was uneventful. Four months after surgery, the shape of the liver was almost fully restored. In case of infected liver cyst, surgical treatment must be performed as soon as possible if antibiotic treatment and percutaneous transhepatic drainage are unsuccessful. Liver plasty is effective if the organ is deformed after fenestration.

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