PT  - JOURNAL ARTICLE
AU  - Dattaraj Pradeep Budkule
AU  - Gunjan Shailesh Desai
AU  - Prasad Pande
AU  - Dattaprasanna R Kulkarni
TI  - Infrequent intrahepatic cystic neoplasm: dilemmas in diagnosis and management
AID  - 10.1136/bcr-2018-229058
DP  - 2019 May 01
TA  - BMJ Case Reports
PG  - e229058
VI  - 12
IP  - 5
4099  - http://casereports.bmj.com/content/12/5/e229058.short
4100  - http://casereports.bmj.com/content/12/5/e229058.full
SO  - BMJ Case Reports2019 May 01; 12
AB  - Biliary mucinous cystic neoplasm (BMCN) is a rare intrahepatic neoplasm comprising approximately 5% of cystic liver lesions. It can cause diagnostic dilemmas with most common differentials being complex hepatic cyst, hydatid cyst and intraductal papillary neoplasm of the bile duct. Affecting middle-aged female population, BMCN presents variedly ranging from vague abdominal symptoms to obstructive jaundice. Preoperative diagnosis is difficult. Preoperative CT scan with intravenous contrast and carbohydrate antigen 19.9 levels may give a clue towards the diagnosis. Intraoperative frozen section or cyst fluid aspiration cytology might help confirm the diagnosis. Fine needle aspirations should not be performed if BMCN is suspected, and intraoperative cyst spillage should be avoided to prevent tumour dissemination. We present here a case with a very atypical presentation of BMCN and review its present literature in brief.