Giant complex hepatic cyst causing pseudocystitis: A case report

Table 1 Patient laboratory data at the time of admission

Parameter	Patient’s value	Reference value
White blood cell count (109/L)	3.93	3.50–9.50
C-reactive protein (mg/L)	0.23	0–6
Neutrophils (%)	36.00	40–75
Lymphocytes (%)	55.70	20–50
Monocytes (%)	5.20	3–10
Hemoglobin (g/L)	109.00	115.0–150.0
Platelet count (109/L)	172	125–350
Activated thromboplastin time (s)	13.50	9.4-12.5
Activated partial thromboplastin time (s)	11.0	11–14
Albumin (g/L)	38.6	40.0–55.0
Total protein (g/L)	62.8	65.0–85.0
Total bilirubin (μmol/L)	21.0	0.0–21.0
Aspartate aminotransferase (U/L)	15.1	13.0–35.0
Alanine aminotransferase (U/L)	12.4	7.0–40.0
Blood creatinine (μmol/L)	54.5	41.0–81.0

Table 2 Tumor indicators at the time of admission

Parameter	Patient’s value	Reference value
Carcinoembryonic antigen (ng/mL)	1.36	0–5.0
Alpha-fetoprotein (ng/mL)	1.71	< 9.01
CA-199 (U/mL)	3.40	0–25
β-human chorionic gonadotropin (mIU/mL)	0.24	0–35
CA-125 (U/mL)	15.17	0–5
CA-15-3 (U/mL)	3.10	0–14
CA-50 (U/mL)	3.91	< 25
CA-72-4 (U/mL)	4.02	0–10
CA-24-2 (U/mL)	4.27	< 25
Squamous cell carcinoma-associated antigen (ng/mL)	0.78	0–1.5
Cytokeratin 19 fragment (ng/mL)	1.59	< 3.3
Neuron specific enolase (ng/mL)	9.93	0–20

¹Alpha-fetoprotein (ng/ml) < 9.0 in males and non-pregnant females.

Table 3 Cystic fluid - routine testing findings

Parameter	Patient’s value	Reference value
Color	Yellow
Solidification	No solidification
Pellucidity	Slightly turbid
Proportion	1.010	Leakage fluid < 1.015 Exudate > 1.018
Rivalta test	+	Leakage fluid: - Exudate: +
White blood cell count (109/L)	0.04	Leakage fluid < 0.1 Exudate > 0.5
Red blood cell count (109/L)	0.40	0
Other	Cholesterol crystals detected

Table 4 Biochemical indicators of cystic fluid

Parameter	Patient’s value
TG (mmol/L)	0.12
GLU (mmol/L)	0.37
CH (mmol/L)	0.67
AMY (U/L)	55
ADA (U/L)	25.6
LDH (U/L)	58.6
ACE (U/L)	6.1
Total protein (g/L)	66.4
Albumin (g/L)	42.4

TG: Triacylglycerol; GLU: Glutamate; CH: Cholesterol; AMY: Amylase; ADA: Adenosine deaminase; LDH: Serum lactic dehydrogenase; ACE: Angiotensin-converting enzyme.

Table 5 Cystic fluid alpha-fetoprotein and carcinoembryonic antigen

Parameter	Patient’s value	Reference value
Carcinoembryonic antigen (ng/mL)	0.43	0–5.0
Alpha-fetoprotein (ng/mL)	0.72	< 9.01

¹Alpha-fetoprotein (ng/ml) < 9.0 in males and non-pregnant females.