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Title: Polycystic Liver Disease

A 77-year-old African American male presented with intermittent abdominal pain for one week. He denied nausea, vomiting, diarrhea, constipation, fevers, anorexia, or weight loss. He denied a family history of liver disease, recent travel, or history of intravenous drug abuse. His vital signs were normal. Labs revealed total bilirubin of 1.5 mg/dl, hypoalbuminaemia 3.0 gm/dl and prolonged prothrombin time of 14.8 sec. Computed Tomography of the abdomen and pelvis with contrast showed multiple hepatic cysts with the largest cyst occupying the right abdomen, measuring 20.6 cm (Panel A and). This cyst had predominantly fluid attenuation, but also contained several septations. The patient underwent laparoscopic fenestration of the large hepatic cyst with hepatic cyst wall biopsy. Pathology revealed blood without malignant cells. The patient tolerated the procedure well with improvement of his abdominal pain and normalization of his liver function tests and coagulation profile.
Authors:
 [1]
  1. 5501 Old York Road, Philadelphia, PA 19141 (United States)
Publication Date:
OSTI Identifier:
22504544
Resource Type:
Journal Article
Resource Relation:
Journal Name: International Journal of Clinical and Medical Imaging; Journal Volume: 3; Journal Issue: 3; Other Information: PUBLISHER-ID: 2376-0249.1000438; Copyright: (c) 2016 Nguyen L.; This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ABDOMEN; ANOREXIA; BILIRUBIN; BIOPSY; BLOOD; COMPUTERIZED TOMOGRAPHY; CONSTIPATION; CYSTS; DIARRHEA; DISEASES; DRUG ABUSE; FEVER; LIVER; NAUSEA; PAIN; PATIENTS; PELVIS; PROTHROMBIN; VOMITING