Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Spontaneous rupture of a large non-parasitic liver cyst: a case report | Miliadis et al. Journal of Medical Case Reports 2010 4 2 http content 4 1 2 jAc JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Spontaneous rupture of a large non-parasitic liver cyst a case report Lazaros Miliadis Triantafillos Giannakopoulos Georgios Boutsikos loannis Terzis loannis D Kyriazanos Abstract Introduction Non-parasitic hepatic cysts are benign entities occur rarely 5 of the population and in the majority of cases are asymptomatic. Cysts can cause symptoms when they become large and produce bile duct compression or portal hypertension and also when complications such as rupture infection or hemorrhage take place. Case presentation We present the case of a 70-year-old Greek-Caucasian man with a large asymptomatic and non-parasitic liver cyst that presented as an acute surgical abdominal emergency after spontaneous rupture into the peritoneal cavity. Conclusions We present an extremely rare complication of simple liver cyst its rupture in the free abdominal cavity and its presentation as an acute abdomen. Large simple liver cysts should be treated with intervention at early recognition as conservative management usually results in their recurrence. Introduction Recent technical advances cost reduction and increased use of radiological imaging modalities have resulted to an increased detection of simple or non-parasitic hepatic cysts NPHC in approximately 1 to 5 of the general population 1 . Found more frequently in women than in men 3 1 NPHC are usually asymptomatic 1 . When they reach a substantial size as ocurs in 5 of cases they may become symptomatic more commonly in women than in men at 10 1 with upper abdominal pain bloating nausea vomiting and dyspnea 2 . Obstructive jaundice and p ortal hypertension may also occur depending on the volume and position of the cyst 3 . Complications of NPHC include hemorrhage infection rupture into the peritoneal cavity the biliary tree or adjacent hollow viscus 4 5 and even .
