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CASE REPORT
Year : 2018  |  Volume : 17  |  Issue : 4  |  Page : 293-295

Giant simple biliary cyst infection treated with minimally invasive percutaneous drainage


Department of Interventional Radiology, Hospital Israelita Albert Einstein, São Paulo, Brazil

Correspondence Address:
Priscila Mina Falsarella
Department of Interventional Radiology, Hospital Israelita Albert Einstein, Avenida Albert Einstein, 627/701, Morumbi, São Paulo - SP 05652-900
Brazil
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DOI: 10.4103/wjnm.WJNM_63_17

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We describe a minimally invasive alternative approach in a patient with infected hepatic cyst to stabilize the patient before definitive surgery. A 58-year-old man presented with fever and hypotension after 2 weeks of asthenia, chills, weight loss, slight abdominal pain, and a previous asymptomatic simple hepatic cyst. On ultrasound, a giant heterogeneous hepatic cyst with thick wall was noted. A positron emission tomography-computed tomography scan was indicated and demonstrated high uptake (standardized uptake value = 7.6) in the wall of the cyst, suggestive of infection. He underwent percutaneous drainage guided by the tomography. A 12 Fr drain was positioned inside the collection and 5 L of purulent material was aspirated from the cyst, and at day 12th, surgical resection was performed. Histopatological analysis confirmed a simple biliary cyst. The patient remains asymptomatic on 1-year follow-up. Percutaneous drainage before surgical treatment allowed the definitive approach to be performed with the patient in better clinical conditions.


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