Patrzałek Patryk, Hałoń Agnieszka, Guziński Maciej, Pomorski Michał, Tokarczyk Wojciech, Patrzałek Dariusz
Department of Surgery, District Hospital in Rawicz, Rawicz, POL.
Department of Pathomorphology and Oncological Cytology, Wroclaw Medical University, Wroclaw, POL.
Cureus. 2024 Mar 22;16(3):e56752. doi: 10.7759/cureus.56752. eCollection 2024 Mar.
Biliary cystadenomas (BCAs), rare cystic tumors occurring in the biliary system, account for fewer than 5% of cystic lesions in the liver. This case details successful resection in a 29-year-old pregnant woman at seven weeks gestation. Urgent left hemihepatectomy and cholecystectomy removed a mucinous hepatobiliary cystadenoma. Postoperatively, a healthy newborn was delivered by cesarean section. Five-year follow-up showed no recurrence. BCAs present diagnostic challenges due to nonspecific symptoms, and surgical intervention, preferably complete resection, is recommended for potential malignancy, after weighing benefits against complications in critical hepatic vessel lesions.
胆管囊腺瘤(BCAs)是发生于胆道系统的罕见囊性肿瘤,占肝脏囊性病变的比例不到5%。本病例详细介绍了一名妊娠7周的29岁孕妇成功接受手术切除的过程。紧急行左半肝切除术和胆囊切除术,切除了一个黏液性肝胆管囊腺瘤。术后,通过剖宫产分娩出一名健康的新生儿。五年随访显示无复发。由于症状不具特异性,BCAs存在诊断挑战,对于潜在恶性病变,在权衡关键肝血管病变的益处与并发症后,建议进行手术干预,最好是完整切除。