PMC8249569_01
CT scan of Patient 1 showing the liver cyst that occupies all the left hemi-liver.
fsurg-08-677889-g0001.jpg
PMC8249569_01_fsurg-08-677889-g0001.jpg
F1
At admission, an abdominal computed tomography (CT) scan revealed a 20 x 13.6-cm simple hepatic cyst, which caused compression on the gallbladder, stomach, and pancreas and Wirsung dilatation (Figure 1).
Patient 1 Intraoperative image after completing the cyst fenestration.
fsurg-08-677889-g0002.jpg
PMC8249569_01_fsurg-08-677889-g0002.jpg
F2
As planned, the patient underwent a laparoscopic cyst fenestration, the day after admission (Figure 2).
PMC8249569_02
Patient 2, preoperative imaging: (A) CT scan and (B) MRCP demonstrating biliary confluence compression with dilatation.
fsurg-08-677889-g0003.jpg
PMC8249569_02_fsurg-08-677889-g0003.jpg
F3
An abdominal CT scan was performed, revealing an enlargement of the hepatic cyst to 9 x 7.5 cm in segment 4b (Figure 3A). The magnetic resonance cholangiopancreatography described a compression of the main biliary confluence, with dilatation of the intrahepatic biliary tracts, due to the enlargement of the liver cyst (Figure 3B).