Publication:

Massive left lobe liver cyst: a rare case report and review of literature

Huge Cyst of the liver not frequently found. This case of massive liver cyst (left lobe) in a female patient is reported for its rarity. In this case, the patient presented with no other complaints except distention of abdomen and vague pain abdomen. To highlight diagnostic challenges and treatment options available to rural population, that is affordable and accessible.  A 57 years old female patient from nearby village, presented with distention of abdomen for 5years, which was small to start with and gradually increasing in size to attain the present size. Preoperatively, it was a huge tensely cystic swelling arising from left lobe of liver occupying whole upper abdomen. Swelling appeared to be arising from segment II and III (Couinaud system), right lobe compressed to a rim. The cyst was opened anteriorly and drained 4.8l of clear fluid. Marsupialization of the cyst was done. Though huge cystic swellings are comparatively rare, they should be considered in the pre-operative differential diagnosis of abdominal masses. They can be easily diagnosed and managed in hospitals with limited resources and are affordable to the patients also.