GIANT, RECURRENT SIMPLE HEPATIC CYST WITH ASYMPTOMATIC PRIMARY BILIARY CIRRHOSIS: AN UNUSUAL ASSOCIATION
*Dr. Shubhangi Vinayak Agale, M.D. D.C.P, Dr. Sulagna Giri, M D., Dr. Ankita Nayak, M.B.B.S. and Dr. Grace. F. D'Costa, M.D.
ABSTRACT
The simple hepatic cyst refers to solitary non-parasitic cyst of liver. Simple hepatic cyst is usually asymptomatic but may present as abdominal pain, nausea, vomiting and abdominal distension. These cysts are uncommon with incidence rate of 1% in autopsy study. Hepatic cysts are seen in adults above 40 years of age with female predominance. Primary biliary cirrhosis is a chronic autoimmune cholestatic liver disease with variable clinical course and slow progression. This disease commonly affects females (90%) in the fifth to seventh decades of life. Most of the patients are asymptomatic (>50%) and others present mainly with fatigue (80%) and pruritus (20-70%). Primary biliary cirrhosis is associated with other autoimmune disorders. However to our knowledge, its association with simple hepatic cyst has not been described. We report rare association of a case of simple hepatic cyst with primary biliary cirrhosis in a 55 year old female who presented with abdominal pain and fullness in epigastric region.
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