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Some simple hepatic cysts may be large and can present with pressure effects, such as abdominal discomfort or obstructive jaundice. A 68-year-old female with a simple huge hepatic cyst was scheduled elective laparoscopic fenestration in 6\u00a0weeks. Before the operation, she developed acute cholangitis, resulting from an acute increase in cyst size due to intracystic hemorrhage. Upon open fenestration, 6.1\u00a0L of chocolate-like fluid was drained. A huge simple hepatic cyst complicated by intracystic hemorrhage resulted in an acute increase in cyst size. Distortion of the extrahepatic bile duct by the cyst obstructed the bile flow. Acute cholangitis was eventually developed.<\/jats:p>","DOI":"10.1093\/jscr\/rjad056","type":"journal-article","created":{"date-parts":[[2023,2,21]],"date-time":"2023-02-21T19:58:09Z","timestamp":1677009489000},"source":"Crossref","is-referenced-by-count":3,"title":["Acute cholangitis caused by a huge hepatic simple cyst: a case report"],"prefix":"10.1093","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5889-0630","authenticated-orcid":false,"given":"Nichaphat","family":"Phancharoenkit","sequence":"first","affiliation":[{"name":"Phramongkutklao Hospital Division of Hepatobiliarypancreas Surgery, Department of Surgery, , Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anuparp","family":"Thienhiran","sequence":"additional","affiliation":[{"name":"Phramongkutklao Hospital Division of Hepatobiliarypancreas Surgery, Department of Surgery, , Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pipit","family":"Burasakarn","sequence":"additional","affiliation":[{"name":"Phramongkutklao Hospital Division of Hepatobiliarypancreas Surgery, Department of Surgery, , Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pusit","family":"Fuengfoo","sequence":"additional","affiliation":[{"name":"Phramongkutklao Hospital Division of Hepatobiliarypancreas Surgery, Department of Surgery, , Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sermsak","family":"Hongjinda","sequence":"additional","affiliation":[{"name":"Phramongkutklao Hospital Division of Hepatobiliarypancreas Surgery, Department of Surgery, , Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,2,21]]},"reference":[{"key":"2023022119094869100_","volume-title":"Schwartz\u2019s principles of surgery 2-volume set 11th edition","author":"Brunicardi","year":"2019","edition":"11th"},{"key":"2023022119094869100_","volume-title":"Blumgart\u2019s surgery of the liver, pancreas and biliary tract","year":"2012"},{"key":"2023022119094869100_","volume-title":"Sabiston textbook of surgery: The biological basis of modern surgical practic","author":"Townsend","year":"2017"},{"key":"2023022119094869100_","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1016\/j.jhep.2022.06.002","article-title":"EASL clinical practice guidelines on the management of cystic liver diseases","volume":"77","author":"European Association for the Study of the Liver","year":"2022","journal-title":"J Hepatol"},{"key":"2023022119094869100_","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1016\/S1665-2681(19)30790-2","article-title":"Obstructive jaundice caused by a giant non-parasitic hepatic cyst","volume":"14","author":"Mehtsun","year":"2015","journal-title":"Ann Hepatol"},{"key":"2023022119094869100_","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1186\/s12876-018-0815-x","article-title":"Jaundice caused by protrusion of a hepatic cyst into common bile duct that was resolved by choledochoscopic needle-knife electrotomy: a case report","volume":"18","author":"Zhang","year":"2018","journal-title":"BMC Gastroenterol"},{"key":"2023022119094869100_","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1007\/BF02482330","article-title":"Obstructive jaundice caused by a huge liver cyst riding on the hilum: report of a case","volume":"29","author":"Kanai","year":"1999","journal-title":"Surg Today"},{"key":"2023022119094869100_","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1016\/j.ciresp.2016.02.016","article-title":"Jaundice secondary to a simple liver cyst with traumatic intracystic hemorrhage","volume":"94","author":"Ruiz Pardo","year":"2016","journal-title":"Cir Esp (Engl Ed)"},{"key":"2023022119094869100_","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1159\/000357304","article-title":"A large hepatic cyst with obstructive jaundice successfully treated with single-incision laparoscopic deroofing","volume":"7","author":"Imamura","year":"2013","journal-title":"Case Rep Gastroenterol"},{"key":"2023022119094869100_","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4291\/wjgp.v9.i1.1","article-title":"Acute cholangitis - 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