Published online Jul 27, 2022. doi: 10.4240/wjgs.v14.i7.706
Peer-review started: March 2, 2022
First decision: April 25, 2022
Revised: April 30, 2022
Accepted: June 20, 2022
Article in press: June 20, 2022
Published online: July 27, 2022
Giant simple hepatic cysts causing intrahepatic duct dilatation and obstructive jaundice are uncommon. A variety of measures with different clinical efficacies and invasiveness have been developed. Nonsurgical management, such as percutaneous aspiration and sclerotherapy, is often applied.
The case is a 39-year-old female with a 5-mo history of cutaneous and scleral icterus, loss of appetite, and dark urine. Lab tests showed jaundice and liver function abnormalities. Imaging revealed a giant simple hepatic cyst obstructing the intrahepatic bile ducts. A combination of percutaneous catheter aspiration and lauromacrogol sclerotherapy was successfully performed and the effects were satisfactory with the size of cyst decreasing from 13.7 cm × 13.1 cm to 3.0 cm × 3.0 cm. Further literature review presented the challenges of managing giant simple hepatic cysts that cause obstructive jaundice and compared the safety and efficacy of a combination of percutaneous aspiration and lauromacrogol sclerotherapy with other management strategies.
Giant simple hepatic cysts can cause obstructive jaundice, and a combination of percutaneous catheter aspiration and sclerotherapy with lauromacrogol are suggested to treat such cases.
Core Tip: Giant simple hepatic cysts causing obstructive jaundice are uncommon. Here we presented the challenges of managing giant simple hepatic cysts causing obstructive jaundice and compared the safety and efficacy of percutaneous aspiration and lauromacrogol sclerotherapy with other management strategies. The case is a 39-year-old female with jaundice and liver function abnormalities. Images revealed a giant simple hepatic cyst with obstruction of intrahepatic bile ducts. A combination of percutaneous catheter aspiration and lauromacrogol sclerotherapy was conducted successively, achieving satisfactory efficacy. Therefore, a combination of percutaneous aspiration and lauromacrogol sclerotherapy may be suggested to solve such cases.