Ciliated Hepatic Cyst: Report of a Case and Review of the Literature
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Abstract
The ciliated hepatic cyst of the anterior intestine is a less frequent benign entity that arises from the alteration in the migration of embryological remains. Most of them are found in the left lobe of the liver, especially in segment IV. Its wall is covered by a pseudostratified ciliated columnar epithelium, a layer of connective tissue, smooth muscle, and a surrounding fibrous outer layer. We present the case of a 61-year-old man who, in the context of a scheduled admission for drainage of an intraabdominal abscess, was incidentally discovered to have a hepatic lesion of cystic aspect. The anatomopathological diagnosis was that of a ciliated hepatic cyst. Due to its low frequency in clinical practice (in part due to its incidental character), a review of the case and a review in the literature of the peculiarities of said entity are proposed.
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Sharma S, Dean AG, Corn A, Kohli V, Wright HI, Sebastian A, et al. Ciliated hepatic foregut cyst: An increasingly diagnosed condition. Hepatobiliary Pancreat Dis Int. 2008;7:581-589. Available from: https://pubmed.ncbi.nlm.nih.gov/19073402/
Fernández de Bobadilla L, Nuño J, García-Moreno F, López-Hervás P, Quijano Y, Mena A, et al. A new multilocular ciliated hepatic foregut cyst. Case report and review of the literature. Rev Esp Enferm Dig. 2005;97(8):606-608. Available from: https://doi.org/10.4321/s1130-01082005000800013
Enke T, Manatsathit W, Merani S, Fisher K. Ciliated hepatic foregut cyst: A report of a case incidentally discovered during transplant evaluation. Case Rep Gastrointest Med. 2019;2019:7828427. Available from: https://doi.org/10.1155/2019/7828427
Khoddami M, Kazemi Aghdam M, Alvandimanesh A. Ciliated hepatic foregut cyst: Two case reports in children and review of the literature. Case Rep Med. 2013;2013:372017. Available from: https://doi.org/10.1155/2013/372017
Fujita AW, Steelman CK, Abramowsky CR, Ricketts RR, Durham M, Clifton M, et al. Ciliated hepatic foregut cyst: Four case reports with a review of the literature. Pediatr Dev Pathol. 2011;14(5):418-421. Available from: https://doi.org/10.2350/10-08-0886-cr.1
Friedreich N. Cyst with flicker epithelium in the liver. Archiv Pathol Anat. 1857;11:466.
Wheeler DA, Edmondson HA. Ciliated hepatic foregut cyst. Am J Surg Pathol. 1984;8:467-470. Available from: https://journals.lww.com/ajsp/abstract/1984/06000/ciliated_hepatic_foregut_cyst.8.aspx
Sumiyoshi K, Shimizu S, Enjoji M, Iwashita A, Kawakami K. Bronchogenic cyst in the abdomen. Virchow's Arch A Pathol Anat Histopathol. 1985;408:93-98. Available from: https://doi.org/10.1007/bf00739965
Vyas S, Luong TV, Yu D, Rahman S. Ciliated foregut cyst of the pancreas: Another differential in the diagnosis of cystic pancreatic lesions. Journal of the Pancreas. 2014;15(6):615-617. Available from: https://doi.org/10.6092/1590-8577/2859
Hirono S, Tanimura H, Yokoyama S, Uchiyama K, Tani M, Onishi H, et al. Clinical features of ciliated foregut cyst of the gallbladder: A rare entity of cystic lesion in the gallbladder. Dig Dis Sci. 2002;47:1817-1820. Available from: https://www.proquest.com/openview/027b2b25fdda9ceafb1d6d810d1e7e19/1?pq-origsite=gscholar&cbl=41056
Zaharie R, Mois E, Al Hajjar N, Zdrehuș C, Rusu I, Zaharie F. A rare case of ciliated foregut cyst of the common hepatic duct. J Gastrointestin Liver Dis. 2019;28(3):264. Available from: https://doi.org/10.15403/jgld-419
Al Beteddini OS, Amra NK, Sherkawi E. Ciliated foregut cyst in the triangle of Calot: The first report. Surg Case Rep. 2016;2(1):20. Available from: https://doi.org/10.1186/s40792-016-0147-4
Kadoya M, Matsui O, Nakanuma Y, Yoshikawa J, Arai K, Takashima T, et al. Ciliated hepatic foregut cyst: Radiologic features. Radiology. 1990;175:475-477. Available from: https://doi.org/10.1148/radiology.175.2.2183286
Kaplan KJ, Escobar M, Alonzo M, Berlin JW. Ciliated hepatic foregut cyst: Report of a case on fine-needle aspiration. Diagn Cytopathol. 2007;35(4):245-249. Available from: https://doi.org/10.1002/dc.20622
Vick DJ, Goodman ZD, Ishak KG. Squamous cell carcinoma arising in a ciliated hepatic foregut cyst. Arch Pathol Lab Med. 1999;123:1115-1117. Available from: https://doi.org/10.5858/1999-123-1115-sccaia
Furlanetto A, Dei Tos AP. Squamous cell carcinoma arising in a ciliated hepatic foregut cyst. Virchow's Arch. 2002;441:296-298. Available from: https://doi.org/10.1007/s00428-002-0668-z
de Lajarte-Thirouard AS, Rioux-Leclercq N, Boudjema K, Gandon Y, Ramée MP, Turlin B. Squamous cell carcinoma arising in a hepatic foregut cyst. Pathol Res Pract. 2002;198:697-700. Available from: https://doi.org/10.1078/0344-0338-00323
Zhang X, Wang Z, Dong Y. Squamous cell carcinoma arising in a ciliated hepatic foregut cyst: Case report and literature review. Pathol Res Pract. 2009;205(7):498-501. Available from: https://doi.org/10.1016/j.prp.2008.12.003
Wilson JM, Groeschl R, George B, Turaga KK, Patel PJ, Saeian K, et al. Ciliated hepatic cyst leading to squamous cell carcinoma of the liver - A case report and review of the literature. Int J Surg Case Rep. 2013;4(11):972-975. Available from: https://doi.org/10.1016/j.ijscr.2013.07.030
Itose O, Kitasato A, Noda K, Yamashita M, Hirayama T, Kobayashi S, et al. A case of surgical resection for well-differentiated squamous cell carcinoma arising in a ciliated hepatic foregut cyst. Acta Med Nagasakiensia. 2018;63:87-90. Available from: https://doi.org/10.11343/amn.63.87
Bishop KC, Perrino CM, Ruzinova MB, Brunt EM. Ciliated hepatic foregut cyst: A report of 6 cases and a review of the English literature. Diagn Pathol. 2015;10:81. Available from: https://doi.org/10.1186/s13000-015-0321-1
Vick DJ, Goodman ZD, Deavers MT, Cain J, Ishak KG. Ciliated hepatic foregut cyst: A study of six cases and review of the literature. Am J Surg Pathol. 1999;23:671-677. Available from: https://doi.org/10.1097/00000478-199906000-00006
Harty MP, Hebra A, Ruchelli ED, Schnaufer L. Ciliated hepatic foregut cyst causing portal hypertension in an adolescent. AJR Am J Roentgenol. 1998;171:688-690. Available from: https://doi.org/10.2214/ajr.170.3.9490954
Ben Mena N, Zalinski S, Svrcek M, Lewin M, Fléjou JF, Wendum D, et al. Ciliated hepatic foregut cyst with extensive squamous metaplasia: Report of a case. Virchow's Arch. 2006;449(6):730-733. Available from: https://doi.org/10.1007/s00428-006-0320-4
Schullinger JN, Wigger HJ, Price JB, Benson M, Harris RC. Epidermoid cysts of the liver. J Pediatr Surg. 1983;18:240-242. Available from: https://doi.org/10.1016/s0022-3468(83)80092-x
Sato Y, Kitagawa S, Zen Y, Minato H, Nakanuma Y. Ciliated hepatic cyst without smooth muscle layer: A variant of ciliated hepatic foregut cyst? Pathol Int. 2006;56(6):340-344. Available from: https://doi.org/10.1111/j.1440-1827.2006.01969.x
Geramizadeh B, Salehzadeh A, Nikeghbalian S. Ciliated hepatic foregut cyst mimicking a hydatid cyst: A case report and review of literature. Saudi J Gastroenterol. 2008;14(3):142-143. Available from: https://doi.org/10.4103/1319-3767.41734
Stringer MD, Jones MO, Woodley H, Wyatt J. Ciliated hepatic foregut cyst. J Pediatr Surg. 2006;41(6):1180-1183. Available from: https://doi.org/10.1016/j.jpedsurg.2006.01.068