Complicated polycystic liver disease with intracystic hemorrhage and obstructive jaundice

Polycystic liver disease, which is generally part of the autosomal dominant polycystic kidney disease, is often asymptomatic. We report a case of obst ructive jaundice caused by compression of the biliary tract by a large haem orrhagic liver cyst. The patient was a man with sporadic polycystic liver d isease without polycystic kidney. disease and with normal renal function fo r his age. Ultrasound combined with cholangio-MRI provided non-invasive con firmation of intracystic bleeding and intrahepatic biliary dilatation. Obst ructive jaundice was confirmed by cyst puncture-aspiration which resolved s ymptoms and normalized biology. The initial treatment of haemorrhagic liver cyst complicating polycystic liver disease must be medical with cyst aspir ation-drainage and sclerotherapy to avoid surgery in these fragile patients .