Spontaneous rupture of a nonparasitic liver cyst complicated by intracystic hemorrhage |
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Authors: | Masahiko Yamaguchi Masaoh Kuzume Tadashi Matsumoto Akihiko Matsumiya Hiroshi Nakano Kaoru Kumada |
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Institution: | (1) Department of Surgery, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama 227-8501, Japan, JP |
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Abstract: | A case of spontaneous rupture of simple liver cyst complicated by intracystic hemorrhage is described. This rare condition
was detected in a 61-year-old man who underwent left trisegmentectomy of liver under a suspected diagnosis of cystadenocarcinoma
because of elevated serum levels of carbohydrate antigen (CA) 19-9 and DUPAN 2, and the presence of an intracystic structure.
The resected specimen showed a benign liver cyst with intracystic hematoma and high levels of CA19-9 and DUPAN 2 in the cystic
fluid. It is suggested that cyst rupture may increase serum levels of tumor markers whose levels are high in the cystic fluid,
and that repeated observations of an intracystic structure may be the most reliable method to distinguish intracystic hemorrhage
from cystic neoplasm.
Received: November 30, 1998 / Accepted: February 26, 1999 |
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Keywords: | : liver cyst spontaneous rupture intracystic hemorrhage |
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