We report the case of a serious complication resulting from laparoscop
ic fenestration of a hepatic cyst. Seven months after the procedure ha
d been performed, the cyst had recurred and ruptured, leading to massi
ve bleeding. Bleeding control and enucleation of the cyst were carried
out successfully by conventional surgery. The patient recovered rapid
ly after an uneventful postoperative period, and no recurrence of the
liver cyst was found 20 months after our intervention. This case empha
sizes the importance of a strict follow-up and determination of the ou
tcome for this new application of laparoscopic surgery.