PT  - JOURNAL ARTICLE
AU  - Eiichiro Mori
AU  - Yasuhiro Akai
AU  - Takaki Matsumoto
AU  - Hideto Kawaratani
AU  - Manabu Horii
AU  - Masayuki Iwano
AU  - Shiro Uemura
AU  - Akitaka Nonomura
AU  - Hiroshi Fukui
AU  - Yoshihiko Saito
TI  - Hepatic cyst infection in a healthy older male
AID  - 10.1136/bcr.04.2011.4136
DP  - 2012 Mar 20
TA  - BMJ Case Reports
PG  - bcr0420114136
VI  - 2012
4099  - http://casereports.bmj.com/content/2012/bcr.04.2011.4136.short
4100  - http://casereports.bmj.com/content/2012/bcr.04.2011.4136.full
AB  - Simple hepatic cysts are usually asymptomatic and are not associated with impaired hepatic function. However, complications, such as obstructive jaundice, rupture, intracystic haemorrhage and infection, can occur. The authors describe the case of a 82-year-old man with fever and elevated C-reactive protein. A repeat contrast-enhanced abdominal CT scan revealed enlargement with peripheral enhancement in the left lateral segment of the liver. A diagnosis of infected hepatic cyst was made, and percutaneous transhepatic drainage of the cyst was performed. When a patient has liver cysts and high-grade fever, liver cysts should be considered as a focus of infection. Repetition of ultrasonography and/or CT studies should be considered, even if no typical findings are obtained initially. It is of note that conventional Ga-scintigraphy may be useful for the detection of infected site.