Tommy A Brown, CPT, MD, Chonna L Kendrick, MAJ, MD, Kelly A Haeusler, Capt, MD, John D Ritchie, MAJ, MD, Shawnn D Nichols, Lt, Col, MD, AFMSA. SAMMC
Hepatic Echinococcal cysts in native-born US citizens and hepatic mature cystic teratomas are both rare entities and can present similarly due to mass effect. Less than forty cases of hepatic mature cystic teratomas have been reported in the literature with only two individual cases occurring in adult males. This paper discusses the case of a 37-year-old active duty US Army male who presented with biliary obstructive symptoms and a large hepatic lesion on imaging. His military work while deployed to the Middle East led to him consuming locally prepared meals. We attempt to review clinically relevant and distinguishing features of hepatic Echinococcal cysts and mature cystic teratomas of the liver, as well as review the current literature on mature cystic teratomas of the liver, and summarize our patient’s medical and surgical management. Given their similar presentations and imaging characteristics, but profound differences in management, both diagnoses should be considered when approaching patients with hepatic cystic lesions of uncertain etiology.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79291
Program Number: P115
Presentation Session: Poster (Non CME)
Presentation Type: Poster