Year: 2026
Type: article
Study design: Case Report
Abstract: Simple hepatic cysts are common benign liver lesions that are typically asymptomatic. Although complications such as intracystic hemorrhage or rupture may occur, they are rare. Mass effect is more likely to be seen in cases of markedly enlarged cysts, which may compress adjacent organs and lead to atypical clinical presentations. We report a rare case of a massive hepatic cyst causing severe external compression of the right heart, resulting in hypotension, oliguric acute kidney injury, and critical limb ischemia. Percutaneous drainage of the cyst led to immediate hemodynamic improvement, with rapid resolution of hypotension and dramatic recovery of renal function and urine output. This case highlights an unusual presentation of a giant hepatic cyst, discusses the associated diagnostic challenges, and reviews important considerations in its evaluation and management.
Source: Cureus
Authors: Shandy Wong, Hayley Hong, Roshan M Lalmalani
Institutions: Sengkang General Hospital, SingHealth Polyclinics
Language: English
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7124275974