International Journal of Research in Medical Sciences | June 2022 | Vol 10 | Issue 6 Page 1236 International Journal of Research in Medical Sciences Alam MI et al. Int J Res Med Sci. 2022 Jun;10(6):1236-1241 www.msjonline.org pISSN 2320-6071 | eISSN 2320-6012 Original Research Article Pattern of liver cysts with their surgical management M. Iftakhar Alam 1 *, Dipannita Biswas 2 , Muhammad Mehedi Hasan 2 , M. Kamrul Hasan 3 , Biplab Kumar Barman 4 , M. Abu Bakar Siddiq Faysal 4 INTRODUCTION Liver cysts are seen in up to 5% of the population. 15-16% of such cysts are symptomatic. Symptomatic cysts are found more commonly in women who are over 50 years of age. Simple hepatic cysts are believed to be congenital in origin and arise from aberrant bile ducts, which are obstructed from the main biliary system. Their wall is made up of a single layer of cuboidal or columnar cells. These cells secrete a fluid with water and electrolyte content similar to that of serum. 1 They usually neither invade biliary nor vascular elements, but may cause obstruction or compression atrophy of the liver parenchyma when they attain a large size. 2 These usually tend to be asymptomatic. When the whole liver is involved, polycystic liver disease (PCLD) is presumed to exist. Large cysts may cause symptoms, predominantly pain, nausea, vomiting, obstructive jaundice and early satiety may be caused by the pressure effects of large cysts. 3 Various terms have been used for simple hepatic cysts, such as biliary cyst, non-parasitic cyst of the liver, benign hepatic cyst, congenital hepatic cyst, unilocular 1 Department of Surgery, Holy Family Red Crescent Medical College Hospital, Dhaka, Bangladesh 2 Department of Thoracic Surgery, Dhaka Medical College Hospital, Dhaka, Bangladesh 3 Department of Surgery, Maligaon 50 Bedded Hospital, Comilla, Bangladesh 4 Department of Surgery, Cumilla Medical College Hospital, Comilla, Bangladesh Received: 08 September 2021 Revised: 01 December 2021 Accepted: 16 December 2021 *Correspondence: Dr. M. Iftakhar Alam, E-mail: emon55251@yahoo.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT Background: Liver cysts are seen in up to 5% of the population. 15-16% of such cysts are symptomatic. Symptomatic cysts are found more commonly in women who are over 50 years of age. Simple hepatic cysts are believed to be congenital in origin. Methods: The observational study was conducted in the department of hepatobiliary department of surgery of Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. Total of 80 cases were randomly selected for the study. Clinical examination and evaluation were done from July 2013 to June 2014. Proper consent was taken from the respective concern. Statistical analysis of the results was obtained by using window-based computer software statistical packages for social sciences (SPSS-22). Results: Most of the respondents were female (65%). The male-female ratio was 1:1.9. The mean age was 46.4 (±SD 10.191) years, ranging from 13-76 years. There were 69 non-parasitic diseases and 11 parasitic diseases. Among them 30 patients were diagnosed as liver cyst incidentally and they required no treatment. Liver function was abnormal in 70% patients. It was found from ultrasonography (USG) and computed tomography (CT) scan of abdomen that right lobe involvement (65% and 28% respectively) is more common than left lobe (21.3% and 12% respectively). The most common complication following surgical interventions was haemorrhage (32.4%). Conclusions: Females are affected most and M:F=1:1.9, usual affected age groups are of 5th decade and common in rural area. Imaging is the best modality for diagnosis of cystic lesions but serological investigations are also helpful. Keywords: Liver cysts, Surgical management, Cystic lesion, Liver DOI: https://dx.doi.org/10.18203/2320-6012.ijrms20221478