Ando Wataru, Otsuka Yuki, Otsuka Fumio
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, JPN.
Center for Graduate Medical Education, Okayama University Hospital, Okayama, JPN.
Cureus. 2024 Apr 14;16(4):e58278. doi: 10.7759/cureus.58278. eCollection 2024 Apr.
Although hiccups are regularly self-limited and rarely life-threatening, prolonged hiccups are bothersome, which can significantly decrease the quality of life. Here, we report a case of persistent hiccups coexisting with an enlarging liver cyst situated just below the diaphragm in a patient with autosomal dominant polycystic kidney disease (ADPKD). No other underlying etiologies related to the symptoms were suspected. The cyst was difficult to drain surgically and the patient continued with symptomatic treatment. Although rare, hepatic cysts should be considered a potential cause of prolonged hiccups in patients with ADPKD. We emphasize the significance of systematically excluding potential etiologies that cause prolonged hiccups and considering appropriate therapeutic interventions.
尽管打嗝通常会自行缓解,很少危及生命,但持续性打嗝会令人烦恼,会显著降低生活质量。在此,我们报告一例常染色体显性多囊肾病(ADPKD)患者,其持续性打嗝与位于膈肌下方不断增大的肝囊肿并存。未怀疑有其他与症状相关的潜在病因。该囊肿手术引流困难,患者继续接受对症治疗。虽然罕见,但肝囊肿应被视为ADPKD患者持续性打嗝的潜在原因。我们强调系统排除导致持续性打嗝的潜在病因并考虑适当治疗干预措施的重要性。