Muralidhar Venkiteswaran, Santhaseelan R G, Ahmed Muzamil, Shanmuga Prakash
General Surgery, Sree Balaji Medical College and Hospital, Chennai, India.
BMJ Case Rep. 2018 Sep 1;2018:bcr-2018-226077. doi: 10.1136/bcr-2018-226077.
We present a rare case of simultaneous occurrence of mucinous cystadenoma of the liver (MCN-L) and a hepatic hydatid cyst (HD-L) in a middle-aged female patient. This is the first case report of a common disease (HD-L) and a rare condition (MCN-H) occurring concurrently. MCN-H of the left lobe was inadequately resected in a rural centre leading to recurrence. She presented with a large upper abdominal lump and upper gastrointestinal symptoms. Radiological investigations and an ultrasound revealed a multilobulated cyst involving both lobes of the liver. There was no ascites. Liver function, basic haematology and renal function were normal. The recurrent MCN-L was removed totally. There was no communication between the MCN-L and the right lobe cyst, which turned out to be a hydatid cyst. The hydatid cyst was evacuated. She was discharged on albendazole and is asymptomatic with no recurrence at 8 months.
我们报告了一例中年女性患者同时发生肝黏液性囊腺瘤（MCN-L）和肝包虫囊肿（HD-L）的罕见病例。这是首例常见疾病（HD-L）和罕见病症（MCN-H）同时出现的病例报告。左叶的MCN-H在一家乡村中心未得到充分切除，导致复发。她出现上腹部巨大肿块和上消化道症状。影像学检查及超声显示一个多叶囊肿累及肝脏两叶。无腹水。肝功能、基础血液学及肾功能正常。复发性MCN-L被完全切除。MCN-L与右叶囊肿之间无连通，右叶囊肿经证实为包虫囊肿。包虫囊肿内容物被排空。她出院时服用阿苯达唑，8个月来无症状且未复发。
