J Korean Surg Soc.  2005 Jan;68(1):69-73.

Epidermoid Cyst in Hepatoduodenal Ligament

Affiliations
  • 1Department of Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea. drbreast@catholic.ac.kr
  • 2Department of Radiology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea.
  • 3Department of Clinical Pathology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea.

Abstract

A 39-year-old man was admitted to our hospital because of an intermittent, epigastric, abdominal pain and abdominal bloating. Magnetic resonance Cholangiopancreatography (MRCP) showed a 4x6 cm sized heterogenous cystic mass in the hilum of the liver. The mass seemed not to have originated from the liver, but was rather located at the anterior portion of the inferior vena cava and the caudate lobe, and superior to the head of the pancreas. The common bile duct (CBD) was displaced laterally by the mass, but the other biliary tree was normal. A presumptively diagnosed hematoma or high- protein mucous component filled cystic mass was later proved to be a large mass located in the hepatoduodenal ligament on laparotomy, and was completely removed by meticulous dissection. The histopathological diagnosis confirmed an epidermoid cyst.

Keyword

Epidermoid cyst; Hepatoduodenal ligament

MeSH Terms

Abdominal Pain
Adult
Biliary Tract
Cholangiopancreatography, Magnetic Resonance
Common Bile Duct
Diagnosis
Epidermal Cyst*
Head
Hematoma
Humans
Laparotomy
Ligaments*
Liver
Pancreas
Vena Cava, Inferior
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