J Med Life Sci > Volume 11(1); 2014 > Article
Journal of Medicine and Life Science 2014;11(1):61-65.
DOI: https://doi.org/10.22730/jmls.2014.11.1.61    Published online December 18, 2018.
증상이 있는 간낭종의 임상양상과 에탄올 경화요법
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Clinical Manifestations of Symptomatic Hepatic Cysts and Ethanol Sclerotherapy
Jung-Hwan Lee, Yoo-Kyung Cho, Mu Suk Lee, Seung Hyoung Kim, Byung-Cheol Song
Correspondence:  Yoo-Kyung Cho,
Abstract
Background : Most hepatic cysts are asymptomatic liver disease. Rarely, hepatic cysts will be symptomatic because of increasing size, infection and hemorrhage. We describe clinical characteristics of symptomatic hepatic cysts and its effective treatment. Methods : We performed a retrospective review of all patients diagnosed with symptomatic hepatic cysts between May 2009 and April 2013 in Jeju National University Hospital. Twenty one symptomatic hepatic cysts (mean 10.7cm) in 14 patients (12 women and 2 men, aged 51 to 81 years) were enrolled. Results : Symptoms of hepatic cysts were right upper abdominal pain (10 patients), recurrent lower extremities edema (2 patients), fever (3 patients), and right shoulder radiating pain (1 patient). All symptomatic hepatic cysts were treated with percutaneous drainage (mean volume 480 ± 325 ml, max 1250 ml). Three infected cysts were diagnosed by cystic fluid analyses and treated using antibiotics. After drainage, 20 hepatic cysts were treated with 99.9% ethanol sclerotherapy for three days. There were few minor complications including pain, nausea, vomiting. During follow-up (11 months), there was no recurrence. The mean diameter of remained cysts decreased to 3.2 cm with an average volume reduction rate of 92.3 % (from 464.1 cm3 to 35.8 cm3). Conclusions : Percutaneous drainage and ethanol sclerotherapy is a very effective and safety treatment method of symptomatic hepatic cysts.
Key Words: Cysts, Liver Diseases, Drainage, Sclerotherapy, Ethanol
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