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December 1967

Solitary Nonparasitic Hepatic Cysts: Report of Oldest Known Case and Review of the Literature

Author Affiliations

USN; USN, Oakland, Calif
From the Surgical Service, Naval Hospital, Oakland, Calif. Captain Robinson is now at the Naval Hospital, Philadelphia. Lieutenant Commander Flagg's present address is USS Enterprise (CVA [N]-65), Fleet Post Office, San Francisco 96601.

Arch Surg. 1967;95(6):964-973. doi:10.1001/archsurg.1967.01330180112021

SOLITARY nonparasitic hepatic cysts occur with sufficient rarity to merit the reporting of each case. The opportunity to treat such a lesion has prompted this case report and review of the literature.

Report of a Case  The patient, a 90-year-old woman, was admitted to the Naval Hospital, Oakland, Calif, complaining of steady left upper abdominal pain of 12 days' duration associated with nausea, intermittent emesis, constipation, a 1.4-kg (3-lb) weight loss, and increasing abdominal girth. In 1962 an attack of acute cholecystitis necessitated a cholecystostomy. Past medical history and review of systems were otherwise unremarkable.The patient was in moderate distress from abdominal pain. Vital signs were normal. Bilateral lenticular opacities and decreased auditory acuity were present along with moderate dorsal kyphosis, an increased posteroanterior diameter of the chest, and a few scattered rales at the lung bases. Abdominal distention was evident. There was a firm cystic mass which could