A Case of Ciliated Hepatic Foregut Cyst Discovered by Chance in Elderly Patient with Cholecystitis and Cholangitis |
Jeong Ah Hwang, Jung Hee Kim, Sung Hae Ha, Sung Yeol Jang, Ju Sang Park, Hyun Wook Baik, Ki Ho Kim, So Ya Paik |
1Department of Internal Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea. parkjs@dmc.or.kr 2Department of General Surgery, Bundang Jesaeng General Hospital, Seongnam, Korea. 3Department of Pathology, Bundang Jesaeng General Hospital, Seongnam, Korea. |
담낭염 및 담관염을 동반한 노인 환자에서 우연히 발견된 섬모상간전장낭 1례 |
황정아1, 김정희1, 하승혜1, 장성열1, 박주상1, 백현욱1, 김기호2, 백소야3 |
1분당제생병원 내과, 2분당제생병원 외과, 3분당제생병원 병리과 |
|
Abstract |
Ciliated hepatic foregut cyst (CHFC) is a rare disease that originates from the tracheobronchial tree of the foregut. Most patients with CHFC, which is believed to be a non-malignant neoplasm, are clinically asymptomatic. However, there have been some case reports that identify it as changing to malignant in the last decade of the condition. Surgical excision is, therefore, preferred to observation as the treatment of CHFC. However, surgical excision of CHFC in asymptomatic elderly patients is controversial. We experienced a rare case of a 73-year-old female patient who was accidentally diagnosed with CHFC while being diagnosed for cholecystitis and cholangitis. The patient simultaneously underwent laparoscopic cholecystectomy and resection of CHFC, which was finally diagnosed as benign. We report asymptomatic CHFC in elderly patient, focusing our discussion on whether surgical excision of CHFC is necessary for asymptomatic elderly patients. According to a review of case reports, surgical excision of CHFC is not necessary for asymptomatic elderly patients. |
Key Words:
Ciliated hepatic foregut cyst, Elderly |
|