• Internal medicine · Jul 2021

    Case Reports

    Giant Hepatic Cyst: A Possible Cause of Inferior Vena Cava Syndrome.

    • Keisuke Nakabayashi, Manabu Murakami, Shinya Hata, Yuta Terabe, Nobuhito Kaneko, Akihiro Matsui, Kazuhiko Tanaka, Kento Konishi, Seryung Yamamoto, Tetsuya Taki, Hideyuki Suzuki, Minoru Matsuda, and Hiroshi Ando.
    • Kasukabe Chuo General Hospital, Heart Center, Japan.
    • Intern. Med. 2021 Jul 1; 60 (13): 2081-2084.

    AbstractAn 80-year-old man was transferred to our institution with lower limb edema and worsening dyspnea following the administration of diuretic medication. Transthoracic echocardiography and computed tomography revealed a giant hepatic cyst (176×190 mm) compressing his right atrium and inferior vena cava (IVC). Laparoscopic cyst deroofing combined with omental packing and subsequent tube drainage immediately alleviated all his symptoms. The procedure was uneventful, and he was discharged without any complications on postoperative day 9; he had no recurrent symptoms or hepatic cysts at the postoperative 2-month follow-up. Therefore, a giant hepatic cyst can cause IVC syndrome, and laparoscopic deroofing is a beneficial approach for the treatment of accessible cysts.

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