Intracystic hemorrhage of a simple hepatic cyst.

摘要: An unusual case involving hemorrhage of a benign intrahepatic cyst in which the correct diagnosis was made preoperatively is reported. A 60-year-old man presented with acute onset left upper quadrant abdominal pain. On admission, computed tomography and ultrasonography revealed an 8-cm hepatic lateral segment liver. Serum concentrations CA19-9 (170 mu/mL), DUPAN2 (1600 SPAN1 (94 mu/mL) were elevated. Twenty-three days after magnetic resonance imaging hyperintense 13-cm lesion that appeared heterogeneous on T1-weighted sequences relative hypointensity bottom T2-weighted sequences. Percutaneous transhepatic drainage performed 27 serosanguineous fluid obtained; pain resolved. Tumor marker decreased by 1 week drainage. Six drainage, became purulent. The infection persisted segmentectomy cholecystectomy 24 drained. Pathology confirmed benign. use tumor markers may allow differentiation from malignant lesions obviate need for surgery.