Hepatic cyst, in layman's terms, is a "blister" in the liver. Most hepatic cysts are congenital, that is, some abnormalities in congenital development lead to the formation of hepatic cysts. There are few acquired factors, for example, in pastoral areas, if people are infected with echinococcosis, parasitic cysts will appear in the liver. Trauma, inflammation and even tumors can also cause liver cysts.
Cyst can be single, just one, as small as 0.2cm；; It can be as many as a dozen or dozens, and even one can be as big as dozens of centimeters.
A few days ago, the surgery department of the Second Affiliated Hospital of Southern Medical University admitted a rare patient with multiple hepatic cysts. The patient was a 54-year-old female deaf-mute who underwent laparotomy and drainage in the outer hospital in 1992 due to multiple hepatic cysts.
Since the second half of 2003, I have felt pain in my upper abdomen. As soon as I eat, my stomach will swell uncomfortably, and people will gradually lose weight. The children found her abnormality and took her to the hospital at once. It was found that the whole liver of the patient was covered by cysts of different sizes. The diameter of the large cysts was about 12- 15 cm, and the small ones were about the size of broad beans and mung beans, and there were few normal liver tissues.
Extremely swollen liver fills the upper abdomen and the liver function is very abnormal. If not treated in time, it is likely to lead to liver failure or spontaneous rupture and bleeding of the liver, which is life-threatening.
After careful consideration, the hospital surgery decided to do laparoscopic fenestration and drainage of liver cysts. The operation only made three small holes in the patient's abdomen. During the operation, it was found that the patient's large capsule was actually wrapped in a small capsule, which can be described as a capsule within a capsule.
Such a rare situation, even ordinary surgery can not solve the problem.
During the whole operation, more than 20 cysts were opened, and the drainage sac fluid reached more than 1000 ml. The daily drainage volume reached 300-500 ml in the first two days after operation. The second day after operation, the patient was able to eat normally, and four days later, the patient was discharged from the hospital.
According to the data of Shanghai Zhongshan Hospital, there is a 77-year-old male patient with a large cyst that extends from abdominal cavity to pelvic cavity. Hepatic cysts are widely distributed and can be found in the left, right and left lobes of the liver. Patients with multiple hepatic cysts sometimes have other visceral cysts, such as renal cysts, pulmonary cyst, and occasionally pancreatic cysts and splenic cysts.
Polycystic liver cysts can spread all over the liver, and some patients often have upper abdominal mass as the first symptom, and ascites, portal hypertension and other liver dysfunction symptoms appear at the end stage.
Liver cysts are generally asymptomatic. When the cyst grows to a certain extent, it may compress the gastrointestinal tract and cause symptoms, such as discomfort and fullness in the upper abdomen; There are also abdominal pain and fever caused by bacterial infection secondary to cysts.
With the development and popularization of imaging diagnostics, especially B-ultrasound has been listed as one of the routine physical examination items of the population, and the detection rate of liver cyst by B-ultrasound can reach 98%, so many cases of this disease have been found.
In people's minds, cysts are tumors that grow on the liver. Although the symptoms are not many, they are also very disturbing. Will it become liver cancer? The common complications of liver cyst are rupture and bleeding, bacterial infection, fistula and penetration, but rarely canceration. Congenital hepatic cyst will never become cancerous.
According to the data of Shanghai Zhongshan Hospital, 45 cases of hepatic cysts over 65 years old were followed up for 5 years. After B-ultrasound and CT reexamination, there was no canceration.
Love tip: It is recommended to go to the hospital for relevant examination in time so as to prescribe the right medicine.
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