• Information
  1. Solitary, Non-Parasitic
  2. Polycystic Liver Disease
  3. Echinococcal Cysts

A. Solitary, Non-Parasitic

1. Right Lobe, most common
2. Simple cuboidal Epithelium

B. Polycystic Liver Disease [1,2]

1. Related to polycystic renal disease
2. Extremely large livers
3. Protuberant abdomen
4. Autosomal Dominant (more prominent)

C. Echinococcal Cysts [3,4,5]

1. Usually from Lakewater, Animal Dung
2. Cysts within cysts, under high pressure
3. Cause obstruction
4. May occur in lungs as well as liver [6]
5. Rupture - Emergency; often fatal from anaphylactoid reaction
6. Treatment
   1. Surgery recommended
   2. Percutaneous drainage may also be used with drug therapy [7]
   3. Mebendazole or albendazole alone are effective in <30% of liver cyst cases [8]
   4. Percutaneous drainage with albendazole is recommended for most patients
7. Additional Medications
   1. Reduction of inflammatory response is critical
   2. Glucocorticoids
   3. Antihistamines

References

1. Perrone RD. 1997. Kidney Int. 51(6):2022
2. Morino M, De Giuli M, Festa V, Garrone C. 1994. Ann Surg. 1994. 219(2):157
3. Mentes A. 1994. Dig Dis. 12(3):150
4. Kumar A and Chattopadhyay TK. 1992. Postgrad Med J. 68(805):853
5. Forbes A and Murray-Lyon IM. 1991. Gut. Suppl:S116
6. Kornfeld H and Mark EJ. 1999. NEJM. 341(13):974 (Case Record)
7. Khuroo MS, Wani NA, Javid G, et al. 1997. NEJM. 337(13):881
8. Gil-Grande LA, Rodriguez-Caabeiro F, Prieto JG et al. 1993. Lancet. 342:1269