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KMID : 0828520110150040240
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Journal of the Korean Geriatrics Society
2011 Volume.15 No. 4 p.240 ~ p.244
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A Case of Ciliated Hepatic Foregut Cyst Discovered by Chance in Elderly Patient with Cholecystitis and Cholangitis
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Hwang Jeong-Ah
Kim Jung-Hee
Ha Sung-Hae
Jang Sung-Yeol
Park Ju-Sang
Baik Hyun-Wook
Kim Ki-Ho
Paik So-Ya
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Abstract
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Ciliated hepatic foregut cyst (CHFC) is a rare disease that originates from the tracheobronchial tree of the foregut. Most of patients with CHFC, which is believed to be a non-malignant neoplasm, are clinically asymptomatic. However, there have been some case reports that identify it as malignant change in the last decade. Surgical excision is, therefore, preferred to observation as the treatment of CHFC recently. But, surgical excision of CHFC in asymptomatic elderly patient is controversial. We experienced a rare case of a 73-year-old female patient who was accidentally diagnosed with CHFC in a process of diagnosing cholecystitis and Cholangitis. The patient simultaneously underwent the laparoscopic cholecystectomy and resection of CHFC, which was finally diagnosed as benign. We report asymptomatic CHFC in elderly patient, focusing our discussion on whether surgical excision of CHFC is necessary for asymptomatic elderly patient. According to a review of case reports, surgical excision of CHFC is not necessary for asymptomatic elderly patient.
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KEYWORD
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Ciliated hepatic foregut cyst, Eldrly patient
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