Case Report
Copyright ©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. May 28, 2008; 14(20): 3266-3268
Published online May 28, 2008. doi: 10.3748/wjg.14.3266
A symptomatic cyst of the ligamentum teres of the liver: A case report
Emmanuel E Lagoudianakis, Nikolaos Michalopoulos, Haridimos Markogiannakis, Artemisia Papadima, Konstantinos Filis, Panagiotis Kekis, Vaggelogiannis Katergiannakis, Andreas Manouras
Emmanuel E Lagoudianakis, Nikolaos Michalopoulos, Haridimos Markogiannakis, Artemisia Papadima, Konstantinos Filis, Panagiotis Kekis, Vaggelogiannis Katergiannakis, Andreas Manouras, Department of Propaedeutic Surgery, Hippocrateion Hospital, Athens Medical School, University of Athens, Athens 11527, Greece
Author contributions: Lagoudianakis EE and Michalopoulos N wrote the paper; Markogiannakis H, Papadima A, Filis K and Kekis P performed the research; Katergiannakis V and Manouras A analyzed the data and designed the research.
Correspondence to: Andreas Manouras, MD, PhD, Associate Professor of General Surgery, 1st Department of Propaedeutic Surgery, Hippocrateion Hospital, Athens Medical School, University of Athens, Q. Sophias 114, Athens 11527, Greece. amanouras@hippocratio.gr
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Received: January 30, 2008
Revised: April 16, 2008
Accepted: April 23, 2008
Published online: May 28, 2008
Abstract

Cysts of the liver ligaments are extremely rare and cysts of the ligamentum teres of the liver have been sporadically reported in the literature during the last century. The present report describes a case of a symptomatic patient with a cyst of the ligamentum teres of the liver. The patient presented with right upper quadrant pain and indigestion during the last 2 years. Ultrasound and computed tomography scans revealed a water-density mass attached to the anterior abdominal wall, but definite diagnosis could not be reached. The cyst was completely excised during laparotomy. Cysts of the ligamentum teres of the liver, although infrequent, may produce clinical symptoms and require excision. Ultrasound and computed tomography scan preoperatively cannot rule out malignancy, thus exploratory laparotomy and total resection of these lesions are necessary.

Keywords: Ligamentum teres mass; Liver cyst; Right upper quadrant mass; Congenital liver cyst