Korean Journal of Nephrology 2000;19(1):143-147.

증례 : 상염색체우성 다낭성신질환에 동반된 거대 간 낭종 치험 1예 (Successful Alcoholic Sclerotherapy of Huge Hepatic Cyse in a Patient with Autosomal Dominant Polycystic Kidney Disease)

강성귀(Sung Kyew Kang),박성광(Sung Kwang Park),김원(Won Kim),이정민(Jung Min Lee),마명신(Myeong Sin Ma)

Abstract

Huge hepatic cysts are rarely encountered in autosomal dominant polycystic kidney disease. Huge hepatic cyst bothers the patient either by compression or complications such as intracystic infections or hemorrhages. We report, here, alcohol instillation to treat a huge hepatic cyst causing compression symptom with improvement in size & symptom. A 49-year-old female patient presented with a 4-week history of indigestion and epigastric discomfort. Physical examination was remarkable for tender hepatomegaly. Computerized tomography revealed huge hepatic and kidney cysts. Ultrasonographic guided percutaneous drainage and four times alcohol sclerotherapy of the huge heptic cyst was successful. Relief of the symptoms was maintained after 18 days. This case shows that alcohol sclerotherapy can be a effective nonsurgical method of treating symptomatic huge hepatic cysts.