Hepatic cysts

2085

Usually refers to solitary nonparasitic cysts of the liver, also known as simple cysts.

Cystic lesions of the liver include: simple cysts, multiple cysts in polycystic liver disease, parasitic or hydatid cysts, cystic tumors, and abscesses.

Prevalence increases with age.

The most common liver lesion with prevalence increasing with age.

More than 50% of adults over age 56 are likely to have at least one liver cyst

Liver functions preserved.

Occasionally associated with mild transaminase increases.

Simple hepatic cyst have an outer fibrous layer and an inner lining of cuboidal columnar epithelium that produces the cysts fluid.

With massive hepatic cysts, increases in transaminase, alkaline phosphatase and portosystemic shunt may occur.

Mostly asymptomatic, but occasionally associated with pain with massive involvement.

Rare complications: infection, obstructive jaundice, and portal hypertension.

The most common extra renal manifestation of autosomal dominant Polycystic kidney disease.

Treatment options include partial hepatectomy, surgical fenestration, sclerosis, and percutaneous drainage to alleviate symptoms, if present.

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