Digestive Diseases and Sciences

, Volume 56, Issue 7, pp 1949–1953

Ruptured Biliary Cystadenoma Managed by Angiographic Embolization and Interval Partial Hepatectomy

  • Saif A. Ghole
  • Sara Bakhtary
  • Kristan Staudenmayer
  • Daniel Y. Sze
  • Reetesh K. Pai
  • Brendan C. Visser
  • Jeffrey A. Norton
  • George A. Poultsides
Stanford Multidisciplinary Seminars


  1. 1.
    Teoh AY, Ng SS, Lee KF, Lai PB. Biliary cystadenoma and other complicated cystic lesions of the liver: diagnostic and therapeutic challenges. World J Surg. 2006;30:1560–1566.PubMedCrossRefGoogle Scholar
  2. 2.
    Beuran M, Venter MD, Dumitru L. Large mucinous biliary cystadenoma with “ovarian-like” stroma: a case report. World J Gastroenterol. 2006;12:3779–3781.PubMedGoogle Scholar
  3. 3.
    Thomas KT, Welch D, Trueblood A, et al. Effective treatment of biliary cystadenoma. Ann Surg. 2005;241:769–773 (discussion 773–775).Google Scholar
  4. 4.
    Emre A, Serin KR, Ozden I, et al. Intrahepatic biliary cystic neoplasms: Surgical results of 9 patients and literature review. World J Gastroenterol. 2011;17:361–365.PubMedCrossRefGoogle Scholar
  5. 5.
    Gonzalez M, Majno P, Terraz S, et al. Biliary cystadenoma revealed by obstructive jaundice. Dig Liver Dis. 2009;41:e11–e13.PubMedCrossRefGoogle Scholar
  6. 6.
    Siriwardana PN, Pathirana A. Episodic biliary obstruction due to an intrahepatic biliary cystadenoma: a case report. J Med Case Reports. 2009;3:9032.PubMedCrossRefGoogle Scholar
  7. 7.
    van Roekel V, Marx WJ, Baskin W, Greenlaw RL. Cystadenoma of the liver. J Clin Gastroenterol. 1982;4:167–172.PubMedCrossRefGoogle Scholar
  8. 8.
    Catto JW, Madan M, Alexander DJ. Hepatobiliary cystadenoma presenting with intermittent inferior vena caval obstruction. J Hepatobiliary Pancreat Surg. 1999;6:324–326.PubMedCrossRefGoogle Scholar
  9. 9.
    Hai S, Hirohashi K, Yamamoto T, et al. Intrahepatic cystadenocarcinoma with pleural dissemination: a case report. Osaka City Med J. 2003;49:61–65.PubMedGoogle Scholar
  10. 10.
    Chang MS, Chen MC, Chou FF, et al. Spontaneous rupture of hepatobiliary cystadenoma: a case report. Changgeng Yi Xue Za Zhi. 1995;18:392–397.PubMedGoogle Scholar
  11. 11.
    Elfadili H, Majbar A, Zouaidia F, et al. Spontaneous rupture of a recurrent hepatic cystadenoma. World J Hepatol. 2010;2:322–324.PubMedCrossRefGoogle Scholar
  12. 12.
    Lempinen M, Halme L, Numminen K, et al. Spontaneous rupture of a hepatic cystadenoma and cystadenocarcinoma: report of two cases. J Hepatobiliary Pancreat Surg. 2005;12:409–414.PubMedCrossRefGoogle Scholar
  13. 13.
    Lee JH, Chen DR, Pang SC, Lai YS. Mucinous biliary cystadenoma with mesenchymal stroma: expressions of CA 19–9 and carcinoembryonic antigen in serum and cystic fluid. J Gastroenterol. 1996;31:732–736.PubMedCrossRefGoogle Scholar
  14. 14.
    Thomas JA, Scriven MW, Puntis MC, et al. Elevated serum CA 19-9 levels in hepatobiliary cystadenoma with mesenchymal stroma. Two case reports with immunohistochemical confirmation. Cancer. 1992;70:1841–1846.Google Scholar
  15. 15.
    Choi HK, Lee JK, Lee KH, et al. Differential diagnosis for intrahepatic biliary cystadenoma and hepatic simple cyst: significance of cystic fluid analysis and radiologic findings. J Clin Gastroenterol. 2010;44:289–293.PubMedCrossRefGoogle Scholar
  16. 16.
    Horsmans Y, Laka A, Gigot JF, Geubel AP. Serum and cystic fluid CA 19–9 determinations as a diagnostic help in liver cysts of uncertain nature. Liver. 1996;16:255–257.PubMedGoogle Scholar
  17. 17.
    Koffron A, Rao S, Ferrario M, Abecassis M. Intrahepatic biliary cystadenoma: role of cyst fluid analysis and surgical management in the laparoscopic era. Surgery. 2004;136:926–936.PubMedCrossRefGoogle Scholar
  18. 18.
    Deneve JL, Pawlik TM, Cunningham S, et al. Liver cell adenoma: a multicenter analysis of risk factors for rupture and malignancy. Ann Surg Oncol. 2009;16:640–648.PubMedCrossRefGoogle Scholar
  19. 19.
    Buczkowski AK, Kim PT, Ho SG, et al. Multidisciplinary management of ruptured hepatocellular carcinoma. J Gastrointest Surg. 2006;10:379–386.PubMedCrossRefGoogle Scholar
  20. 20.
    O’Shea JS, Shah D, Cooperman AM. Biliary cystadenocarcinoma of extrahepatic duct origin arising in previously benign cystadenoma. Am J Gastroenterol. 1987;82:1306–1310.PubMedGoogle Scholar
  21. 21.
    Wee A, Nilsson B, Kang JY, et al. Biliary cystadenocarcinoma arising in a cystadenoma. Report of a case diagnosed by fine needle aspiration cytology. Acta Cytol. 1993;37:966–970.Google Scholar
  22. 22.
    Vogt DP, Henderson JM, Chmielewski E. Cystadenoma and cystadenocarcinoma of the liver: a single center experience. J Am Coll Surg. 2005;200:727–733.PubMedCrossRefGoogle Scholar
  23. 23.
    Delis SG, Touloumis Z, Bakoyiannis A, et al. Intrahepatic biliary cystadenoma: a need for radical resection. Eur J Gastroenterol Hepatol. 2008;20:10–14.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Saif A. Ghole
    • 1
  • Sara Bakhtary
    • 2
  • Kristan Staudenmayer
    • 1
  • Daniel Y. Sze
    • 3
  • Reetesh K. Pai
    • 2
  • Brendan C. Visser
    • 1
  • Jeffrey A. Norton
    • 1
  • George A. Poultsides
    • 1
  1. 1.Department of SurgeryStanford University Medical CenterStanfordUSA
  2. 2.Department of PathologyStanford University Medical CenterStanfordUSA
  3. 3.Division of Interventional RadiologyStanford University Medical CenterStanfordUSA

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