Presentation
We present a patient with polycystic disease of the liver who developed an aneurysm arising from the right hepatic artery presenting with surgical obstructive jaundice. [ncbi.nlm.nih.gov]
Entire Body System
-
Constitutional Symptom
We present 2 patients with polycystic liver disease (PCLD), both with constitutional symptoms and bacteremia. [ncbi.nlm.nih.gov]
Gastrointestinal
-
Abdominal Pain
While mild abdominal pain was observed in a few patients, it was resolved spontaneously under observation. [ncbi.nlm.nih.gov]
-
Chronic Abdominal Pain
Biliary and inferior vena cava obstruction, chronic abdominal pain and symptomatic abdominal distension are also criteria to offer surgical intervention [ 2 ]. [jmedicalcasereports.com]
Supportive management with analgesics is the first-line treatment in patients with acute or chronic abdominal pain and tenderness. [link.springer.com]
-
Right Upper Quadrant Pain
The onset of right upper quadrant pain, back pain, and shortness of breath prompted evaluation of a 32-year-old woman with progressive hepatomegaly. [ncbi.nlm.nih.gov]
The patient may also develop fetor hepaticus, enlarged superficial abdominal veins, muscle atrophy, right upper quadrant pain that worsens when he sits up or leans forward, and a palpable spleen. [checkorphan.org]
-
Lower Abdominal Pain
Upper- and lower abdominal pain and dyspnoea were significantly associated with a reduced PCS (P 0.01). No correlation was found between liver volume and HRQL. [ncbi.nlm.nih.gov]
Psychiatrical
-
Suggestibility
Many of these targets have been evaluated in pre-clinical trials suggesting their value as potential new therapies. This review outlines the current clinical and preclinical treatment strategies for PLD. [ncbi.nlm.nih.gov]
Workup
She refused further workup including liver biopsy. Discussion Polycystic liver disease occurs either in isolation or as part of ADPKD or uncommonly adult dominant polycystic liver disease (ADPLD). [cureus.com]
Treatment
Although various treatments for symptomatic adult polycystic liver disease have been advocated, a definitive treatment remains controversial, especially in diffuse adult polycystic liver disease. [ncbi.nlm.nih.gov]
Prognosis
CONCLUSIONS: Our experience demonstrates that PLD patients with extensive hepatic involvement and who are treated with LT have good long-term prognosis and excellent symptoms relief. [ncbi.nlm.nih.gov]
Prognosis Most patients with PCLD have good prognosis and do not require treatment. The documents contained in this web site are presented for information purposes only. [orpha.net]
Etiology
Case report peer-reviewed Polycystic Liver Disease and Sarcoidosis: Unusual Coexisting Etiologies of Portal Hypertension Figures etc. [cureus.com]
[…] resemble corpora atretica or fibrosa of ovary TERMINOLOGY Abbreviations • Polycystic liver disease (PLD) • Autosomal dominant polycystic kidney disease (ADPKD) Definitions • Genetic disorder characterized by progressive development of multiple liver cysts ETIOLOGY [basicmedicalkey.com]
Etiology Liver cysts result from overgrowth of biliary epithelium or from dilatation of peribiliary glands. Some cases occur sporadically, but most are inherited as an autosomal dominant trait (ADPCLD). [orpha.net]
Banales J.M. 2017 18 Waitlisted Candidates With Polycystic Liver Disease are More Likely to be Transplanted Than Those With Chronic Liver Failure. ( 28296808 ) Doshi S.D....Goldberg D.S. 2017 19 Polycystic Liver Disease and Sarcoidosis: Unusual Coexisting Etiologies [malacards.org]
(Etiology) Polycystic Liver Disease (PCLD) is an inherited genetic condition with an autosomal-dominant pattern Most cases of PCLD are caused by a mutation in the PRKCSH or SEC63 gene Autosomal dominant: Autosomal dominant conditions are traits or disorders [dovemed.com]
Epidemiology
Areas covered: This review begins by looking at the epidemiology of PLD and its natural history. It then describes the pathophysiology and corresponding potential treatment strategies for PLD. [ncbi.nlm.nih.gov]
Summary Epidemiology The prevalence of ADPCLD is 1/100, 000. Clinical description Women are predominantly affected and have a larger number of cysts than affected males. [orpha.net]
The rate of single cysts is about 68–75 % [ 5, 6 ]. 8.2.1 Pathogenesis and Epidemiology Simple cysts contain a clear, bile-like fluid. [abdominalkey.com]
Pathophysiology, epidemiology, classification and treatment options for polycystic liver diseases. World J Gastroenterol, 2013. 19(35): p. 5775-86. 4. [rarediseases.org]
Pathophysiology
AIM: To provide a systemic review on the pathophysiology and management of PCLD. [ncbi.nlm.nih.gov]
They have expanded their research programme to look at mechanisms which control the development of biliary epithelial cells, the underlying mechanisms for the pathophysiology of malnutrition in children with liver disease and the natural history and management [books.google.com]
Prevention
The sclerosing treatment was successful, thus preventing laparotomy. [ncbi.nlm.nih.gov]
The use of postoperative long-acting octreotide has the potential to reduce the growth of remaining cysts and prevent new cysts from developing, and it should be considered in the management of these patients after surgery. [jamanetwork.com]