Giant haemorrhagic hepatic cyst with flame-like morphology in a patient with polycystic kidney and liver disease
- Author(s)
- Brusic, A; Oo, J; Stella, DL; Simkin, PM; Loveday, BPT;
- Details
- Publication Year 2021-08,Volume 29,Issue #3,Page 187-192
- Journal Title
- Ultrasound
- Publication Type
- Case report
- Abstract
- INTRODUCTION: Intracystic haemorrhage is a rare complication of hepatic cysts, and is often mistaken for a malignant lesion. CASE REPORT: A 55-year-old female with a history of polycystic kidney and liver disease presented with a six-month history of abdominal distension, abdominal pain, early satiety, shortness of breath and 5 kg of weight loss. Imaging revealed a 20 cm mixed solid-cystic hepatic lesion containing peripheral avascular mobile echogenic material with a flame-like morphology. After experiencing symptomatic relief from ultrasound-guided aspiration, the patient underwent cyst fenestration for more definitive treatment. DISCUSSION: Haemorrhagic hepatic cysts are uncommon and may present on imaging as having lace-like retractile clot, internal layering or shading of separating blood products or avascular mobile flame-like excrescences. The presence of avascular mobile flame-like excrescences appears to be a unique feature of haemorrhagic hepatic cysts. CONCLUSION: While haemorrhagic hepatic cysts are rare and commonly mistaken for biliary cystadenomas or adenocarcinomas, the identification of particular features on high-resolution magnetic resonance imaging and contrast-enhanced ultrasound can lead to the correct diagnosis.
- Department(s)
- Surgical Oncology
- PubMed ID
- 34567231
- Publisher's Version
- https://doi.org/10.1177/1742271X20987263
- Terms of Use/Rights Notice
- Refer to copyright notice on published article.
Creation Date: 2025-06-19 06:51:05
Last Modified: 2025-06-19 06:51:41