0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
CLINICAL NOTES |

Fistulization of a Solitary Hepatic Cyst

Harry J. Sacks, MD; Louis S. Robbins, MD
JAMA. 1967;200(5):415-417. doi:10.1001/jama.1967.03120180103024.
Text Size: A A A
Published online

Because of the patient's poor cardio-pulmonary status, partial hepatectomy was deemed inadvisable. During the following two years, the cyst was drained by aspiration on five occasions of volumes ranging from 800 to 1,500 ml. Each time the fluid had the same characteristics as the original. The serum bilirubin level was normal on each occasion.

The last hospital entry occurred two years later, at which time the patient vomited a dark fluid which resembled the previous cyst aspirates. There was diffuse guarding of the abdomen, with maximal tenderness in the right upper quadrant.

Roentgenographic studies revealed a pressure defect on the lesser curvature of the stomach due to the cyst, but no fistulous communications between cyst and gastrointestinal tract could be demonstrated. Diagnoses of hepatocysticenteric fistula and of perforation of the cyst into the peritoneum were made. The patient was treated with antibiotics, steroids, and drainage by canula of the hepatic

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

* * SCHEDULED MAINTENANCE * *

Our websites may be periodically unavailable between midnight and 04:00 ET Thursday, July 10th, for regularly scheduled maintenance.

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();