Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 26, 2023; 11(33): 8030-8037
Published online Nov 26, 2023. doi: 10.12998/wjcc.v11.i33.8030
Giant complex hepatic cyst causing pseudocystitis: A case report
Song Li, Jie Tang, De-Sheng Ni, A-Dong Xia, Guo-Liang Chen
Song Li, De-Sheng Ni, A-Dong Xia, Guo-Liang Chen, Department of Hepatobilary Pancreatic Gastrointestinal Surgery, Jinhua People's Hospital, Jinhua 321000, Zhejiang Province, China
Jie Tang, Department of General Surgery, The Second Affiliated Hospital of Bengbu Medical College, Bengbu 233000, Anhui Province, China
Jie Tang, Anhui Key Laboratory of Tissue Transplantation, Bengbu Medical College, Bengbu 233000, Anhui Province, China
Co-first authors: Song Li and Jie Tang.
Author contributions: Li S, Tang J, Ni DS, and Xia AD conceived, designed, and refined the study protocol; Li S, Tang J, Xia AD, and Chen GL were involved in data collection; Li S, Tang J, and Chen GL analyzed the data; Li S, Tang J, and Ni DS drafted the manuscript; all authors were involved in the critical review of the results and have contributed to, read, and approved the final manuscript. Li S and Tang J contributed equally to this work as co-first authors. The reasons for designating Li S and Tang J as co-first authors are threefold. First, the research was performed as a collaborative effort, and the designation of co-first authors accurately reflects the distribution of responsibilities and burdens associated with the time and effort required to complete the study and the resultant paper. This also ensures effective communication and management of post-submission matters, ultimately enhancing the paper's quality and reliability. Second, the overall research team encompassed authors with a variety of expertise and skills from different fields, and the designation of co-first authors best reflects this diversity. This also promotes the most comprehensive and in-depth examination of the research topic, ultimately enriching readers' understanding by offering various expert perspectives. Third, Li S and Tang J contributed efforts of equal substance throughout the research process. The choice of these researchers as co-first authors acknowledges and respects this equal contribution, while recognizing the spirit of teamwork and collaboration of this study. In summary, we believe that designating Li S and Tang J as co-first authors is fitting for our manuscript as it accurately reflects our team's collaborative spirit, equal contributions, and diversity.
Informed consent statement: Informed consent was obtained from the patient before the publication of this case report.
Conflict-of-interest statement: The authors declare no competing financial interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: De-Sheng Ni, MD, Chief Physician, Department of Hepatobilary Pancreatic Gastrointestinal Surgery, Jinhua People's Hospital, No. 267 Danxi East Road, Jindong District, Jinhua 321000, Zhejiang Province, China. 13868987870@163.com
Received: September 14, 2023
Peer-review started: September 14, 2023
First decision: September 28, 2023
Revised: October 9, 2023
Accepted: November 13, 2023
Article in press: November 13, 2023
Published online: November 26, 2023
Processing time: 70 Days and 23.3 Hours
Abstract
BACKGROUND

Hepatic cysts are common benign liver tumors that are typically asymptomatic. However, larger cysts, particularly giant liver cysts, can potentially induce symptoms. If the diameter of the cyst exceeds 10 cm, it can exert pressure on adjacent organs, leading to manifestations of corresponding symptoms. Here, we report the case of a complex giant hepatic cyst that caused pseudocystitis.

CASE SUMMARY

A 16-year-old girl was admitted to our hospital with frequent and urgent urination. Ultrasonography revealed no obvious uterine adnexal abnormalities but showed a hypoechoic, cystic mass (173 mm × 84 mm × 138 mm) with clear boundaries, and an unclear blood flow signal in the abdominal cavity (extending from the lower edge of the left lobe of liver to the upper edge of the bladder). Abdominal contrast-enhanced computed tomography revealed a giant cystic mass in the abdominal and pelvic cavities, possibly originating from the liver, and a small amount of free fluid in the pelvic cavity, which subsequent magnetic resonance imaging confirmed. The imaging characteristics were consistent with a benign lesion. The patient underwent laparoscopic resection of the giant liver cyst with partial liver resection. Post-surgery her symptoms urinary symptoms were relieved completely and she was discharged on the sixth postoperative day.

CONCLUSION

Our patient presented with symptoms suggestive of pseudocystitis, stressing the need for considering possibilities of other etiologies and differential diagnoses.

Keywords: Giant hepatic cyst; Pseudocystitis; Symptoms; Case report

Core Tip: Giant hepatic cysts can cause symptoms upon reaching a significant size. We present a case of a complex giant liver cyst causing pseudocystitis in a 16-year-old girl with frequent and urgent urination. Imaging revealed a large cystic lesion in the liver. Laparoscopic resection with partial liver resection was performed, resulting in the resolution of the urinary symptoms. Therefore, clinicians should consider the possibility of giant liver cysts in patients presenting with similar symptoms.