%0 Journal Article
%T Giant simple biliary cyst infection treated with minimally invasive percutaneous drainage
%A Andre Arantes Pereira De Azevedo
%A Priscila Mina Falsarella
%A Rafael Dahmer Rocha
%A Rodrigo Gobbo Garcia
%J Archive of "World Journal of Nuclear Medicine".
%D 2018
%R 10.4103/wjnm.WJNM_63_17
%X We describe a minimally invasive alternative approach in a patient with infected hepatic cyst to stabilize the patient before definitive surgery. A 58-year-old man presented with fever and hypotension after 2 weeks of asthenia, chills, weight loss, slight abdominal pain, and a previous asymptomatic simple hepatic cyst. On ultrasound, a giant heterogeneous hepatic cyst with thick wall was noted. A positron emission tomography-computed tomography scan was indicated and demonstrated high uptake (standardized uptake value = 7.6) in the wall of the cyst, suggestive of infection. He underwent percutaneous drainage guided by the tomography. A 12 Fr drain was positioned inside the collection and 5 L of purulent material was aspirated from the cyst, and at day 12th, surgical resection was performed. Histopatological analysis confirmed a simple biliary cyst. The patient remains asymptomatic on 1-year follow-up. Percutaneous drainage before surgical treatment allowed the definitive approach to be performed with the patient in better clinical conditions
%K Giant biliary cyst
%K percutaneous drainage
%K pyogenic hepatic cyst
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6216735/