Journal Information
Vol. 81. Issue 1.
Pages 51-52 (January - March 2016)
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Vol. 81. Issue 1.
Pages 51-52 (January - March 2016)
Clinical image in gastroenterology
Open Access
Polycystic liver disease with no renal involvement
Poliquistosis hepática sin afectación renal
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G. Méndez
Corresponding author
jgonzalomendez82@gmail.com

Corresponding author. Ex-residente de Medicina Interna, Clínica Médica “A”, Hospital de Clínicas Dr. Manuel Quintela, Facultad de Medicina, Universidad de la República, Uruguay. Hospital de Clínicas, Avda. Italia s/n esquina Las Heras, piso 11, 11600, Montevideo, Uruguay. Tel.: +099 500 214.
, M. López, L. Llambí
Department of Internal Medicine, Clínica Médica “A”, Hospital de Clínicas Dr. Manuel Quintela, Faculty of Medicine, Universidad de la República, Montevideo, Uruguay
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A 70-year-old man could provide no personal or family medical history. He sought medical attention for abdominal distension and symmetrical non-gravitational lower limb edema that he had presented with for many years, accompanied with anorexia and early satiety. Physical examination revealed protein-caloric malnutrition and jaundice of the skin and mucosae. There was a large, hard, non-painful, polylobular abdominal tumor in the right hypochondrium. The lower limbs presented with edema extending to the upper thigh that was nonpainful, with no fluxive signs. Abdominal computed tomography (CT) scan identified heterogeneous hepatomegaly and plain-looking multiple cysts substituting almost the entire parenchyma. One of them was compressing the vena cava and another had a hemorrhagic content. There were no elements of portal hypertension. The kidneys were normal. Medical treatment with nutritional support and diuretics was given. Liver transplantation or partial hepatic resection were not considered due to the patient's poor general status. A CT-guided transparietal puncture was carried out on the 2 largest cysts, draining a total of 600 cc, and alcohol instillation was done. The patient progressed well, with reduced edema and improved appetite and nutritional status (Figs. 1 and 2).

Figure 1.

Multiple hepatic cysts, one of which was hemorrhagic.

(0.1MB).
Figure 2.

Diffuse hepatic involvement not affecting the kidneys.

(0.23MB).
Ethical responsibilitiesProtection of persons and animals

The authors declare that the procedures followed conformed to the ethical standards of the responsible committee on human experimentation and were in accordance with the World Medical Association and the Declaration of Helsinki.

Data confidentiality

The authors declare that no patient data appear in this article.

Right to privacy and informed consent

The authors declare that no patient data appear in this article.

Financial disclosure

No financial support was received in relation to this study/article.

Conflict of interest

The authors declare that there is no conflict of interest.

Please cite this article as: Méndez G, López M, Llambí L. Poliquistosis hepática sin afectación renal. Revista de Gastroenterología de México. 2016;81:51–52.

Copyright © 2015. Asociación Mexicana de Gastroenterología
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