Percutaneous Drainage and Alcohol-Retention Sclerotherapy for Two Adjacent Hepatic Cysts Causing Intra-Hepatic Bile Duct Dilatation

Kim, Kyewhon; Park, Jung Gil; Kim, Kyewhon; Park, Jung Gil

Kyewhon Kim

, Jung Gil Park

Department of Internal Medicine, College of Medicine, Yeungnam University, Daegu, South Korea, Daegu, Korea

Address for Correspondence:

Kyewhon Kim ,Tel: 01063458020, Fax: 0536548386, Email: sseren@nate.com

Received: 10 October 2023; Accepted: 26 October 2023. Published online: 26 October 2023.

ABSTRACT

Simple hepatic cysts are usually asymptomatic and found incidentally. In most of cases, no treatment is required for hepatic cysts. Various managements with different clinical features and advantage were developed. As one of the nonsurgical managements for hepatic cyst, percutaneous drainage and sclerotherapy are often applied. The case is a 67-years-old male presented with cholestatic liver enzyme abnormality. In this case, growing two adjacent hepatic cysts cause compression of the liver parenchyma and intra-hepatic bile duct. Ultrasonography and computed topography revealed two large hepatic cysts and intrahepatic duct dilatation. After ultrasonography guided percutaneous drainage of one of two larger cysts, alcohol-retention sclerotherapy was performed twice for 2 consecutive days. After 5 days from initial therapy, size of the larger hepatic cysts was decreased from 10×8.3 cm to 4.4×1.7 cm and the cholestatic liver enzyme abnormality was normalized.

Keywords: Simple hepatic cyst; Obstructive jaundice; Alcohol-retention sclerotherapy