Abstract
Hepatic simple cysts are the most common cystic lesions occurring in the liver but rarely complicated with intracystic haemorrhage. We report the third case in the literature of an intracystic haemorrhage occurring in a patient receiving vitamin K-antagonist with high INR. The scarcity of this complication and the absence of typical clinical and radiological findings make the diagnosis challenging. The management of intracystic haemorrhage is a controversial issue. Many options have been described such as observation, radiological drainage with or without the injection of a sclerosing agent and laparoscopic deroofing.
Data Availability
All data generated or analysed during this study are included in this published article.
References
Martin IJ, McKinley AJ, Currie EJ, Holmes P, Garden OJ (1998) Tailoring the management of nonparasitic liver cysts. Ann Surg 228:167–172
Marion Y, Brevartt C, Plard L, Chiche L (2013) Hemorrhagic liver cyst rupture: an unusual life-threatening complication of hepatic cyst and literature review. Ann Hepatol 12(2):336–339
Hagiwara A et al (2001) Haemorrhagic hepatic cyst: a differential diagnosis of cystic tumour. Br J Radiol 74(879):270–272
Kitajima Y et al (2003) Intracystic hemorrhage of a simple liver cyst mimicking a biliary cystadenocarcinoma. J Gastroenterol 38(2):190–193
Fong Z, Wolf A, Doria C et al (2012) Hemorrhagic hepatic cyst: report of a case and review of the literature with emphasis on clinical approach and management. J Gastrointest Surg 16:1782–1789
Author information
Authors and Affiliations
Contributions
IBI analysed and interpreted the patient data and wrote the manuscript. MS and HZ contibuted in the critical revision. All authors read and approved the final manuscript.
Corresponding author
Ethics declarations
Ethics Approval and Consent to Participate
Ethical approval was not required and patient identifying knowledge was not presented in the report.
Consent for Publication
Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor of this journal.
Competing Interests
The authors declare no competing interests.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Ben Ismail, I., Sghaier, M., Zenaidi, H. et al. Intracystic Haemorrhage of a Simple Liver Cyst Secondary to Vitamin-K Antagonist Overdosage. Indian J Surg 85, 200–201 (2023). https://doi.org/10.1007/s12262-022-03381-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12262-022-03381-9