Skip to main content

Advertisement

SpringerLink
Log in

Intrahepatic bile duct dilatation with a liver cyst and hemangioma: Report of a case

  • Case Report
  • Published:
Surgery Today Aims and scope Submit manuscript

Abstract

We report a case of intrahepatic bile duct dilatation with a liver cyst and hemangioma. A 58-year-old woman was referred for investigation of a cystic lesion and peripheral intrahepatic bile duct dilatation in the left lateral segment of the liver. Abdominal computed tomography (CT) and magnetic resonance imaging (MRI) showed dilatation of the intrahepatic bile ducts in the left lateral segment, near a 4.5-cm cystic lesion. Early enhancement into the delayed phase was seen in the dorsal part of the cystic lesion. Celiac angiogram showed a belt-shaped hypervascular area, but no encasement or irregularity of the artery. To exclude malignancy, we performed a left lobectomy. Microscopically, the cyst was lined with a single layer of flattened epithelial cells and a spongy tumor was diagnosed as cavernous hemangioma, which compressed the bile duct. The histopathological diagnosis was biliary stenosis associated with cavernous hemangioma of the liver. Invasive surgery may be avoided by awareness of this unusual benign pathology.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Charles AR, Gupta AK, Bhatnagar V. Giant congenital solitary cyst of the liver: report of a case. Surg Today 2001;31(8):732–734.

    Article  PubMed  CAS  Google Scholar 

  2. Hara H, Morita S, Sako S, Dohi T, Iwamoto M, Inoue H, et al. Hepatobiliary cystadenoma combined with multiple liver cysts: report of a case. Surg Today 2001;31(7):651–654.

    Article  PubMed  CAS  Google Scholar 

  3. Perret RS, Thorsen MK, Lawson TL. Neoplastic diseases of the gallbladder and biliary tract. In: Freeny PC, Stevenson GW, editors. Margulis and Burhenne’s alimentary tract radiology, 5th ed. Mosby: St. Louis; 1994. p. 1325–1343.

    Google Scholar 

  4. Thomas JH, Pierce GE, Karlin C, Hermmeck AS, MacArthur RI. Extrahepatic biliary obstruction secondary to metastatic cancer. Am J Surg 1981;142:770–776.

    Article  PubMed  CAS  Google Scholar 

  5. Kinjo N, Shimada M, Maeda T, Tanaka S, Shirabe K, Maehara Y. Preoperatively undiagnosable intrahepatic bile duct dilatation contains early-stage intrahepatic cholangiocarcinoma. Hepatogastroenterology 2005;52(65):1368–1371.

    PubMed  Google Scholar 

  6. Caravati CM, Watts TD, Hopkins JET. Benign solitary nonparasitic cyst of the liver. Gastroenterology 1950;14:317–320.

    PubMed  CAS  Google Scholar 

  7. Hudson EK. Obstructive jaundice from solitary hepatic cyst. Am J Gastroenterol 1963;34:161–164.

    Google Scholar 

  8. Dardik H, Glotzer P, Silver C. Congenital hepatic cyst causing jaundice. Ann Surg 1964;159:585–592.

    Article  PubMed  CAS  Google Scholar 

  9. Sacks HJ, Robbins LS. Fistulization of a solitary hepatic cyst. JAMA 1967;200:415–417.

    Article  PubMed  CAS  Google Scholar 

  10. Santman FW, Thijs LG, van der Veen EA. Intermittent jaundice: rare complication of a solitary nonparasitic liver cyst. Gastroenterology 1977;72:325–328.

    PubMed  CAS  Google Scholar 

  11. Machell RJ, Calne RY. Solitary non-parasitic hepatic cyst presenting with jaundice. Br J Radiol 1978;51:631–632.

    Article  PubMed  CAS  Google Scholar 

  12. Morin ME, Backer DA, Vanagunas A. Solitary nonparasitic hepatic cyst causing obstructive jaundice. Am J Gastroenterol 1980;73:434–436.

    PubMed  CAS  Google Scholar 

  13. Fernandez M, Cacioppo JC, Davis RP. Management of solitary nonparasitic liver cyst. Am Surg 1984;50:205–208.

    PubMed  CAS  Google Scholar 

  14. Clinkscales NB, Trigg LP, Poklepovic J. Obstructive jaundice secondary to benign hepatic cyst. Radiology 1985;154:643–644.

    PubMed  CAS  Google Scholar 

  15. Cappel MS. Obstructive jaundice from benign, nonparasitic hepatic cysts: identification of risk factors and percutaneous aspiration for diagnosis and treatment. Am J Gastroenterol 1988;83:93–96.

    Google Scholar 

  16. Spivey JR, Garrido JA, Reddy KR. ERCP documentation of obstructive jaundice by a solitary, centrally located, benign hepatic cyst. Gastrointest Endosc 1990;36:521–523.

    Article  PubMed  CAS  Google Scholar 

  17. Terada N, Shimizu T, Imai Y. Benign, non-parasitic hepatic cyst causing obstructive jaundice. Intern Med 1993;32:857–860.

    Article  PubMed  CAS  Google Scholar 

  18. Yoshihara K, Yamashiro S, Koizumi S. Obstructive jaundice caused by non-parasitic hepatic cyst treated with percutaneous drainage and instillation of minocycline hydrochloride as a sclerosing agent. Intern Med 1996;35:373–375.

    Article  PubMed  CAS  Google Scholar 

  19. Kanai T, Kenmochi T, Takabayashi T. Obstructive jaundice caused by a huge liver cyst riding on the hilum: report of a case. Surg Today 1999;29:791–794.

    Article  PubMed  CAS  Google Scholar 

  20. Ishikawa H, Uchida S, Yokokura Y, Iwasaki Y, Horiuchi H, Hiraki M, et al. Nonparasitic solitary huge liver cysts causing intracystic hemorrhage or obstructive jaundice. J Hepatobiliary Pancreat Surg 2002;9:764–768.

    Article  PubMed  Google Scholar 

  21. Lapeyre M, Mathieu D, Tailboux L, Rahmouni A, Kobeiter H. Dilatation of the intrahepatic bile ducts associated with benign liver lesions: an unusual finding. Eur Radiol 2002;12(1):71–73.

    Article  Google Scholar 

  22. Inaba T, Nagashima I, Ogawa F, Tomioka M, Okinaga K. Diffuse intrahepatic bile duct dilation caused by a very small hepatic cyst. J Hepatobiliary Pancreat Surg 2003;10:106–108.

    PubMed  Google Scholar 

  23. Miyamoto M, Oka M, Izumiya T, Nagaoka T, Ishihara Y, Ueda K, et al. Nonparasitic solitary giant hepatic cyst causing obstructive jaundice was successfully treated with monoethanolamine oleate. Intern Med 2006;45(9):621–625.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Hepato-Biliary-Pancreatic Surgery, Tokyo Medical and Dental University, Graduate School of Medicine, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan

    Koji Ito, Kaoru Taira & Shigeki Arii

Authors
  1. Koji Ito
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kaoru Taira
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Shigeki Arii
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ito, K., Taira, K. & Arii, S. Intrahepatic bile duct dilatation with a liver cyst and hemangioma: Report of a case. Surg Today 39, 256–260 (2009). https://doi.org/10.1007/s00595-008-3831-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00595-008-3831-6

Key words

Search

Navigation