CASE REPORT   

Chirurgia 2005 December;18(6):497-500

Copyright © 2005 EDIZIONI MINERVA MEDICA

language: English

Laparoscopic fenestration of symptomatic large non-parasitic cyst within segment VII of the liver. Report of a case

Pavlidis T. E., Koutelidakis I. M., Grigoriou M. C., Chatzimavroudis G. P., Tsiaousis P. Z., Atmatzidis K. S.

Non-parasitic liver cysts are not common and usually asymptomatic. Only those producing symptoms require treatment. The fenestration technique, which has been well established, can be performed adequately by laparoscopic access, nowadays. However, the unusual posterior location creates difficulties and the laparoscopic approach has been debatable. Such a case of large symptomatic cyst located within the segment VII of the liver in a 57-year-old woman is reported. The diagnosis was based on US (ultrasound), CT (computed tomography) and MRI (magnetic resonance imaging) scanning. The negative antiechinococcal antibodies ruled out the hydatid disease nature. Despite the hard it was managed by laparoscopic fenestration successfully. The patient remains well one year later without any evidence of recurrence.