Diagnostic Challenge in a Cystic Lesion of the Epigastrium: A Case Report

  • Firdaus Hayati Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia
  • Nornazirah Azizan Department of Pathobiology and Medical Diagnostics, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia
  • Affirul Chairil Ariffin Medical Faculty, Universiti Sains Islam Malaysia, Kuala Lumpur, Malaysia
  • Foo Kiang Khor Department of Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia
  • Zamri Zuhdi Hepatobiliary and Pancreatic Unit, Department of Surgery, Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia
  • Razman Jarmin Hepatobiliary and Pancreatic Unit, Department of Surgery, Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia
Keywords: Computed tomography, cystadenoma, hepatectomy, diagnostic imaging

Abstract

A diagnosis of cystic lesion of epigastrium is challenging without strong evidence from history and physical examination. A 33-year-old lady has an epigastric mass without hepato-pancreaticobiliary symptoms, was unable to be diagnosed through radiological assessment and biochemical markers. She was diagnosed with hepatobiliary cystadenoma through intraoperative assessment. We present a case of biliary cystadenoma with diagnostic challenge.

References

Pinto A, Pinto F, Faggian A, et al. Sources of error in emergency ultrasonography. Crit Ultrasound J 2013; 5: S1

Takakura K, Sumiyama K, Munakata K, et al. Clinical usefulness of diffusion-weighted MR imaging for detection of pancreatic cancer: comparison with enhanced multidetector-row CT. Abdom Imaging 2011; 36: 457-62

Tummala P, Junaidi O, Agarwal B. Imaging of pancreatic cancer: An overview. J Gastrointest Oncol, 2011; 2: 168-74.

Balci NC, Befeler AS, Leiva P, et al. N. Imaging of liver disease: comparison between quadruple phase multidetector computed tomography and magnetic resonance imaging. J Gastroenterol Hepatol 2008; 23:1520-7

Mortelé ́KJ, Ros PR. Cystic Focal Liver Lesion in the adult: Differential CT and MR imaging Features. Radiographics 2001;21:895-910.

Jakob M, Schneider M, Hoeller I, Laffer U, Kaderli R. Malignant solitary fibrous tumor involving the liver. World J Gastroenterol. 2013;19:3354-7.

Griffin N, Charles-Edwards G, Grant LA. Magnetic Resonance Cholangiopancreatography: the ABC of MRCP. Insights Imaging 2012; 3:11-21.

Pitchaimuthu M, Aidoo-Micah G, Coldham C, et al. Outcome following Resection of Biliary Cystadenoma: A Single Centre Experience and Literature Review. Int J Hepatol 2015; 2015: 382315

Published
2018-06-19