Cystic Lesions

Question 1

What are they?

Answer 1

Liquid collection lined by an epithelium, no biliary tree communication

Question 2

Different type of cysts?

Answer 2

Simple 
Hydatid 
Atypical 
Polycystic lesion 
Pyogenic abscess 
Amoebic Abscess

Question 3

3 Types of polycystic liver disease?

Answer 3

Von Meyenburg complexes
Polycystic liver disease
Autosomal dominant polycystic kidney disease ( ADPKD)

Question 4

How does it present?

Answer 4

Mostly asymptomatic

Question 5

Polycystic liver disease presents?

Answer 5

• Abdominal pain
• Abdominal distension
• Atypical symptoms due to voluminous cysts resulting in compression of adjacent tissue or failure of affected organs

Question 6

Diagnosis of hydatid cyst?

Answer 6

Serological testing and detection of the anti-echinococcus antibodies

Question 7

Treatment of simple cyst?

Answer 7

No follow up needed

If symptomatic/unclear in diagnosis maybe surgery

Question 8

Treatment for a hydatid cyst?

Answer 8

Surgery- open cystectomy, peri-cystectomy, lobectomy
Medical- albendazole
Percutaneous drainage

Question 9

Treatment of polycystic liver disease

Answer 9

Conservative: halts cyst growth following abdo decompression
Invasive procedures rarely required
Somatostatin analogies: beneficial outcome of PLD for symptom relief