A Rare Complication of Simple Hepatic Cyst: Spontaneous Rupture, Case Report and Literature Review

Abstract

ABS TRACT Simple hepatic cysts are usually asymptomatic; most of them are found incidentally, and complications, such as rupture, bleeding, infection and obstructive jaundice, are rare. Intracystic hemorrhage is seen in 2-5% cases, but cyst rupture is an uncommon complication of hepatic cysts. A 70-year-old man without trauma history was admitted to our hospital’s emergency department with severe abdominal pain. Urgent laparotomy and surgical excision of the cyst were performed, revealing a ruptured cyst approximately 10x15 cm in size over the left liver lobe and a rupture hole approximately 1.5 cm in size over the cystic wall. The postoperative period was uneventful, and the patient was discharged six days after the operation. Spontaneous rupture is an extremely rare complication of simple hepatic cysts. Treatment for symptomatic hepatic cysts includes percutaneous aspiration and surgery. Surgical intervention, especially laparotomy, was preferred in most cases.