Introduction Cysts of the liver round ligament are rare and they are benign in the majority of cases. Current literature has been reviewed on this subject. Presentation of case A 22-year-old woman with a history of epigastric pain was admitted at our institution. Computed tomography (CT) of the abdomen showed a 14-mm cystic lesion in the epigastrium. A large cyst of the liver round ligament was successfully removed during exploratory laparoscopy and histopathology revealed a benign mesothelial cyst. Discussion Mesothelial cysts of the liver round ligament are rare entities and we found a total of 5 cases from the literature. Diameter varies from 5 to 14Â cm. Most patients were asymptomatic or may complain abdominal pain in the upper quadrants. Ultrasonography and CT scan are the most useful diagnostic tools, however differential diagnosis between various abdominal cystic lesions can be difficult. Treatment is usually surgical excision. Conclusion Mesothelial cysts of the liver round ligament are extremely rare but should be taken in consideration in the differential diagnosis of intra-abdominal cystic lesions. We stress the importance of exploratory laparoscopy that can allow both diagnosis and radical surgical excision.
Mesothelial cyst in the liver round ligament: A case report and review of the literature / Feo, Claudio; Ginesu, Giorgio Carlo; Cherchi, Giuseppe; Fancellu, Alessandro; Cossu, Maria Laura; Porcu, Alberto. - In: INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS. - ISSN 2210-2612. - 37:(2017), pp. 33-35. [10.1016/j.ijscr.2017.06.017]
Mesothelial cyst in the liver round ligament: A case report and review of the literature
FEO, Claudio;GINESU, Giorgio Carlo;CHERCHI, Giuseppe;FANCELLU, Alessandro;COSSU, Maria Laura;PORCU, Alberto
2017-01-01
Abstract
Introduction Cysts of the liver round ligament are rare and they are benign in the majority of cases. Current literature has been reviewed on this subject. Presentation of case A 22-year-old woman with a history of epigastric pain was admitted at our institution. Computed tomography (CT) of the abdomen showed a 14-mm cystic lesion in the epigastrium. A large cyst of the liver round ligament was successfully removed during exploratory laparoscopy and histopathology revealed a benign mesothelial cyst. Discussion Mesothelial cysts of the liver round ligament are rare entities and we found a total of 5 cases from the literature. Diameter varies from 5 to 14Â cm. Most patients were asymptomatic or may complain abdominal pain in the upper quadrants. Ultrasonography and CT scan are the most useful diagnostic tools, however differential diagnosis between various abdominal cystic lesions can be difficult. Treatment is usually surgical excision. Conclusion Mesothelial cysts of the liver round ligament are extremely rare but should be taken in consideration in the differential diagnosis of intra-abdominal cystic lesions. We stress the importance of exploratory laparoscopy that can allow both diagnosis and radical surgical excision.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.