PMC6796639_01
CT scan showing hepatic multiple cysts.
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Irregular high-density shadows were seen on the edges of the cysts (Fig. 1).
CT scan showing recurrence of hepatic multiple cysts.
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Her CT scan shows a mixture of density at the liver which may be hemorrhage, recurrence of multiple hepatic cysts (Fig. 2).
CT scan showing atrophy of liver, dilatation of bile duct, compression and displacement of hepatic portal system.
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The patient was therefore transferred to the ICU on mechanical ventilation. 3 days later, right hepatic artery embolization was performed, then laparotomy was done to remove the homeostatic gauzes. 12 days after the surgery, her CT scan showed intracystic, hematoma and right hepatic artery embolization (Fig. 3). 22 days later, in order to relieve completely the repeated episodes of hepatic cyst hemorrhage, right trihepatectomy was carried out (Fig. 4).
The resected sample.
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The patient was therefore transferred to the ICU on mechanical ventilation. 3 days later, right hepatic artery embolization was performed, then laparotomy was done to remove the homeostatic gauzes. 12 days after the surgery, her CT scan showed intracystic, hematoma and right hepatic artery embolization (Fig. 3). 22 days later, in order to relieve completely the repeated episodes of hepatic cyst hemorrhage, right trihepatectomy was carried out (Fig. 4).
HE stain of resected sample (magnifying power x100).
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The procedure was hard and about 8000 mL of blood was lost so the patient was transferred to ICU. 7 days afterwards she was transferred to our department and her pathological report showed malignant tumor, cystic lesion of 6 cm x 5 cm x 4 cm, solid area of the lesion is 3 cm x 2 cm x 2 cm, the final pathological report showed liver sarcoma (Fig. 5).