{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:31Z","timestamp":1753877191780,"version":"3.41.2"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T00:00:00Z","timestamp":1659312000000},"content-version":"vor","delay-in-days":31,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Hepatic cysts are benign liver lesions and are often asymptomatic. Large hepatic cysts may cause jaundice and portal hypertension; however, they rarely cause gastrointestinal obstruction. Symptomatic cysts require treatment, and when malignancy is suspected, cyst puncture for pathological examination of the fluid may pose a risk of dissemination. Herein, we describe a case of xanthogranuloma arising from a large hepatic cyst that was causing duodenal obstruction. Thus, cyst puncture was performed for emergency decompression. Cytological examination of the puncture fluid revealed no malignant findings. Hence, laparoscopic deroofing was performed to treat the hepatic cyst. As the cyst and duodenal wall were firmly adherent, the cyst wall was left behind without dissection from the duodenum. A two-stage approach of cyst puncture followed by surgery may be an option for patients requiring urgent treatment for potentially malignant hepatic cysts.<\/jats:p>","DOI":"10.1093\/jscr\/rjac252","type":"journal-article","created":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T12:33:07Z","timestamp":1659357187000},"source":"Crossref","is-referenced-by-count":0,"title":["Surgical treatment of hepatic xanthogranuloma arising from a giant hepatic cyst causing gastrointestinal obstruction: a case report"],"prefix":"10.1093","volume":"2022","author":[{"given":"Akihiro","family":"Kohata","sequence":"first","affiliation":[{"name":"Department of Surgery, National Hospital Organization Higashi Hiroshima Medical Center , Higashihiroshima , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masashi","family":"Inoue","sequence":"additional","affiliation":[{"name":"Department of Surgery, National Hospital Organization Higashi Hiroshima Medical Center , Higashihiroshima , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken","family":"Nomimura","sequence":"additional","affiliation":[{"name":"Department of Surgery, National Hospital Organization Higashi Hiroshima Medical Center , Higashihiroshima , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuki","family":"Matsubara","sequence":"additional","affiliation":[{"name":"Department of Surgery, National Hospital Organization Higashi Hiroshima Medical Center , Higashihiroshima , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masatoshi","family":"Kochi","sequence":"additional","affiliation":[{"name":"Department of Surgery, National Hospital Organization Higashi Hiroshima Medical Center , Higashihiroshima , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryuichi","family":"Hotta","sequence":"additional","affiliation":[{"name":"Department of Surgery, National Hospital Organization Higashi Hiroshima Medical Center , Higashihiroshima , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuaki","family":"Miyamoto","sequence":"additional","affiliation":[{"name":"Department of Surgery, National Hospital Organization Higashi Hiroshima Medical Center , Higashihiroshima , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhiro","family":"Toyota","sequence":"additional","affiliation":[{"name":"Department of Surgery, National Hospital Organization Higashi Hiroshima Medical Center , Higashihiroshima , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seiji","family":"Sadamoto","sequence":"additional","affiliation":[{"name":"Department of Surgery, National Hospital Organization Higashi Hiroshima Medical Center , Higashihiroshima , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadateru","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of Surgery, National Hospital Organization Higashi 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Gastroenterol"},{"key":"2022080112295056300_ref10","doi-asserted-by":"crossref","first-page":"2067","DOI":"10.21873\/invivo.12009","article-title":"Hepatic Xanthogranuloma that originated from a liver cyst and mimicked a malignant tumor","volume":"34","author":"Oda","year":"2020","journal-title":"In Vivo"},{"key":"2022080112295056300_ref11","first-page":"1001","article-title":"Prognostic nutritional index in gastrointestinal surgery of malnourished cancer patients","volume":"85","author":"Onodera","year":"1984","journal-title":"Nihon Geka Gakkai Zasshi"},{"key":"2022080112295056300_ref12","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1097\/SLA.0b013e31827eefed","article-title":"Surgery for gallstone ileus: a nationwide comparison of trends and outcomes","volume":"259","author":"Halabi","year":"2014","journal-title":"Ann Surg"}],"container-title":["Journal of Surgical Case 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