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BMJ Case Rep. 2019 Apr 1;12(4). pii: e226276. doi: 10.1136/bcr-2018-226276.

Rapidly enlarging, giant hepatic cyst growing pseudomonas.

Author information

1
Department of Surgery, North Middlesex University Hospital NHS Trust, London, UK.
2
Department of Intensive Care Medicine, North Middlesex University Hospital NHS Trust, London, UK.
3
Department of Gastroenterology, North Middlesex University Hospital NHS Trust, London, UK.
4
Department of Radiology, North Middlesex University Hospital NHS Trust, London, UK.

Abstract

A 74-year-old woman presented with dyspnoea and fever on a background of a large hepatic cyst thought to be stable in size. During her admission, she developed worsening shortness of breath. An echocardiogram revealed severely impaired cardiac output due to external compression by the hepatic cyst, which had grown rapidly. This was drained under ultrasound guidance and cultures of this fluid grew Pseudomonas aeruginosa: the organism responsible for the persistence of this giant hepatic cyst.

KEYWORDS:

interventional radiology; liver disease

PMID:
30940665
DOI:
10.1136/bcr-2018-226276
[Indexed for MEDLINE]

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