Why did the patient with a history of ADPKD faint? The giant liver cyst explained everything: a case report

Yıl 2021, Cilt: 3 Sayı: 3, 113 - 115, 28.12.2021

Murat Duyan , Serhat Günlü , Yıldızhan Solaç , Ali Sarıdaş , Basar Cander

Öz

Syncope is a common complaint in emergency clinics, but the symptoms of syncope are quite comprehensive. In this study, we are going to present a case of a non-parasitic giant liver cyst that caused compression of the inferior vena cava with the right atrium in a 47-year-old female patient with a history of autosomal dominant polycystic kidney disease who applied to the emergency department due to syncope. In the examinations performed in the emergency department, we detected a giant liver cyst pressing on the inferior vena cava, right atrium, and ventricle of the heart, which prevents venous return. Sclerotherapy with catheterization was applied to the non-parasitic giant liver cyst and the drainage catheter was kept in the cyst cavity for one week to prevent an early recurrence.

Anahtar Kelimeler

giant heaptic cyst, syncope, orthostatic hypotension, heart compression, inferior vena cava compression

Destekleyen Kurum

The authors declare no conflict of interest or any financial support.

Kaynakça

• 1. Brignole M, Moya A, de Lange FJ, et al. 2018 ESC Guidelines for the diagnosis and management of syncope. Eur Heart J. 2018;39(21):1883-1948. doi:10.1093/eurheartj/ehy037
• 2. Olde Nordkamp LR, van Dijk N, Ganzeboom KS, et al. Syncope prevalence in the ED compared to general practice and population: a strong selection process. Am J Emerg Med. 2009;27(3):271-279. doi:10.1016/j.ajem.2008.02.022
• 3. Belyavskiy E, Tadic M, Hassfeld S, Pieske B. A Giant Hepatic Cyst: A Rare Cause of Syncope. Can J Cardiol. 2018;34(9):1234.e1-1234.e2. doi:10.1016/j.cjca.2018.05.014
• 4. Algın A, Özdemir S, Sarıaydın M, Erdoğan MÖ, Inan I. Cardiac compression of a hepatic cyst in polycystic liver disease: A rare cause of hemodynamic instability. Turk J Emerg Med. 2020;20(2):93-96. Published 2020 Feb 26. doi:10.4103/2452-2473.279558 5. Plard L, Guedin P, Le Pennec V, Chiche L. Kystes hépatiques dits "kystes biliaires du foie." [Hepatic cysts: diagnosis and management]. J Chir (Paris). 2008;145(3):217-225. doi:10.1016/s0021-7697(08)73749-9
• 6. Yin X, Blumenfeld JD, Riyahi S, et al. Prevalence of Inferior Vena Cava Compression in ADPKD. Kidney Int Rep. 2020;6(1):168-178. Published 2020 Nov 1. doi:10.1016/j.ekir.2020.10.027
• 7. van Aerts RMM, Bernts LHP, Gevers TJG, et al. Estrogen-Containing Oral Contraceptives Are Associated With Polycystic Liver Disease Severity in Premenopausal Patients. Clin Pharmacol Ther. 2019;106(6):1338-1345. doi:10.1002/cpt.1553
• 8. Hansen P, Bhoyrul S, Legha P, Wetter A, Way LW. Laparoscopic treatment of liver cysts. J Gastrointest Surg. 1997;1(1):53-60. doi:10.1007/s11605-006-0010-1
• 9. Vardakostas D, Damaskos C, Garmpis N, et al. Minimally invasive management of hepatic cysts: indications and complications. Eur Rev Med Pharmacol Sci. 2018;22(5):1387-1396. doi:10.26355/eurrev_201803_14484