Non-parasitic hepatic cysts are frequent and usually asymptomatic. Investig
ation must differentiate from parasitic or neoplastic cysts. Ultrasonograph
y, computed tomography, magnetic resonance imaging and serology do not alwa
ys ensure a definitive diagnosis, where as other diagnostic methods offer l
ittle assistance. Symptoms, complications or uncertain diagnosis make treat
ment necessary. Various techniques have been used in management of nonparas
itic hepatic cysts. Both surgical and recent minimally invasive methods suc
h as laparoscopy and percutaneous aspiration with sclerotherapy are discuss
ed and evaluated. Treatment of choice or indications for each method remain
s a controversial subject that requires further study.