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Cysts of the Liver

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... liver disease (50% renal cysts) abscess (pyogenic, amebic, hydatid) ... Amoebic liver abscess another type of infective cysts caused by Entamoeba hystalytica ... – PowerPoint PPT presentation

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Title: Cysts of the Liver


1
Cysts of the Liver
2
  • Types of Liver cysts
  • simple cyst
  • polycystic liver disease (50 ? renal cysts)
  • abscess (pyogenic, amebic, hydatid)
  • traumatic hematoma
  • Caroli disease
  • cystic hepatoblastoma
  • cystadenoma / cystadenoCarcinoma
  • hemangioendothelioma
  • cystic metastases (uncommon)
  • sarcoma, melanoma, ovarian cystadenoCarcinoma

3
  • Hydatid cyst is an example of infective cyst
    infestation by mother cyst and daughter cysts
    cause pressure effects
  • Amoebic liver abscess another type of infective
    cysts caused by Entamoeba hystalytica
  • Pyogenic liver abscess caused by non specific
    bacteria
  • Trauma can cause collection of blood in the liver
    ?cystic swelling
  • Carolis disease ?

4
  • Cystadenoma a benign tumour of the glandular
    element of the liver, secretions of which collect
    to form a cyst
  • Cystadeno carcinoma same as above but malignant
  • Metastatic tumours which are cystic are rare

5
Pathophysiology
  • Mostly simple cysts
  • Only one or two
  • Usually asymptomatic causing no problem
  • Multiple cysts a part of polycystic disease of
    the liverthese cysts are usually a result of
    malformation of the biliary tree where the glands
    of the liver do not get connected to the drainage
    system ?stagnation of the secretions pressure
    effects

6
  • Clinical Features
  • Swelling
  • Inability to eat well due to pressure on stomach
  • Rarely jaundice due to pressure on CBD
  • Loss of weight due to chronic infection
  • Fever
  • Pain in the hypochondrium and in the intercostal
    regions

7
  • Investigations
  • Blood and urine routine tests
  • Ultrasound scan of the liver
  • CAT or MRI scan of the liver
  • Ultrasound guided needle aspiration biopsy

8
Haemangioendothelioma cancer of the endothelium
of the vessels in the liver cystic swelling due
to the blood contained in the swelling
9
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10
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11
Hydatid cysts with calcification
12
Hydatid cysts
13
Polycstic disease of the kidney and liver
14
Multiple cysts due to echinococcus
15
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