Nonparasitic solitary giant hepatic cyst causing obstructive jaundice was successfully treated with monoethanolamine oleate.

Abstract

A 77-year-old man hospitalized for epigastric pain showed jaundice of the skin and conjunctivae. Laboratory tests revealed elevated hepatobiliary enzymes and inflammatory markers, and imaging studies demonstrated a 12 cm hepatic cyst compressing the common bile duct. The diagnosis was a giant hepatic cyst causing obstructive jaundice. Cyst drainage and sclerotherapy with 5% monoethanolamine oleate was performed twice, resulting in almost complete disappearance of the cyst. Obstructive jaundice due to a hepatic cyst, as seen in this case, is relatively rare and this report includes a review of other similar cases in Japan.

• Authors: Masahiko Miyamoto, Masashi Oka, Takashi Izumiya, Tsunehiro Nagaoka, Yasuhito Ishihara, Kazuki Ueda, Shotaro Enomoto, Kimihiko Yanaoka, Kenji Arii, Hideyuki Tamai, Yasuhito Shimizu, Masao Ichinose
• Journal: Internal medicine (Tokyo, Japan) (Intern Med) Vol. 45 Issue 9 Pg. 621-5 ( 2006) ISSN: 1349-7235 [Electronic] Japan
• PMID: 16755093 (Publication Type: Case Reports, Journal Article, Review)

Chemical References

• Oleic Acids
• monoethanolamine oleate

Topics

• Aged
• Cholangiopancreatography, Endoscopic Retrograde
• Cysts (complications, diagnosis, drug therapy)
• Humans
• Jaundice, Obstructive (etiology)
• Liver Diseases (complications, diagnosis, drug therapy)
• Male
• Oleic Acids (therapeutic use)
• Sclerotherapy
• Tomography, X-Ray Computed
• Treatment Outcome
• Ultrasonography