Giant Hepatic Cyst: A Possible Cause of Inferior Vena Cava Syndrome

Keisuke Nakabayashi; Manabu Murakami; Shinya Hata; Yuta Terabe; Nobuhito Kaneko; Akihiro Matsui; Kazuhiko Tanaka; Kento Konishi; Seryung Yamamoto; Tetsuya Taki; Hideyuki Suzuki; Minoru Matsuda; Hiroshi Ando

doi:10.2169/internalmedicine.6474-20

CASE REPORTS

Giant Hepatic Cyst: A Possible Cause of Inferior Vena Cava Syndrome

Keisuke Nakabayashi, Manabu Murakami, Shinya Hata, Yuta Terabe, Nobuhito Kaneko, Akihiro Matsui, Kazuhiko Tanaka, Kento Konishi, Seryung Yamamoto, Tetsuya Taki, Hideyuki Suzuki, Minoru Matsuda, Hiroshi Ando

Author information

Keisuke Nakabayashi
Kasukabe Chuo General Hospital, Heart Center, Japan
Manabu Murakami
Kasukabe Chuo General Hospital, Heart Center, Japan
Shinya Hata
Kasukabe Chuo General Hospital, Heart Center, Japan
Yuta Terabe
Kasukabe Chuo General Hospital, Heart Center, Japan
Nobuhito Kaneko
Kasukabe Chuo General Hospital, Heart Center, Japan
Akihiro Matsui
Kasukabe Chuo General Hospital, Heart Center, Japan
Kazuhiko Tanaka
Kasukabe Chuo General Hospital, Heart Center, Japan
Kento Konishi
Department of Surgery, Kasukabe Chuo General Hospital, Japan
Seryung Yamamoto
Department of Surgery, Kasukabe Chuo General Hospital, Japan
Tetsuya Taki
Department of Surgery, Kasukabe Chuo General Hospital, Japan
Hideyuki Suzuki
Department of Surgery, Kasukabe Chuo General Hospital, Japan
Minoru Matsuda
Department of Surgery, Kasukabe Chuo General Hospital, Japan
Hiroshi Ando
Kasukabe Chuo General Hospital, Heart Center, Japan

Keywords: hepatic cyst, inferior vena cava syndrome, surgical intervention, laparoscopic deroofing

JOURNAL OPEN ACCESS

2021 Volume 60 Issue 13 Pages 2081-2084

DOI https://doi.org/10.2169/internalmedicine.6474-20

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Abstract

An 80-year-old man was transferred to our institution with lower limb edema and worsening dyspnea following the administration of diuretic medication. Transthoracic echocardiography and computed tomography revealed a giant hepatic cyst (176×190 mm) compressing his right atrium and inferior vena cava (IVC). Laparoscopic cyst deroofing combined with omental packing and subsequent tube drainage immediately alleviated all his symptoms. The procedure was uneventful, and he was discharged without any complications on postoperative day 9; he had no recurrent symptoms or hepatic cysts at the postoperative 2-month follow-up. Therefore, a giant hepatic cyst can cause IVC syndrome, and laparoscopic deroofing is a beneficial approach for the treatment of accessible cysts.

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