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A CT abdomen\/pelvis confirmed an 8.5\u2009cm hepatic cyst indenting the posterior and caudate lobes and abutting the inferior vena cava. Nocturnal dyspnoea was attributed to diminished venous return. Due to worsening symptoms and their impact on her job, the patient underwent laparoscopic deroofing of the hepatic cyst. Histopathology confirmed a simple hepatic cyst. In her first postoperative review clinic, 8 months after her initial visit to the cardiology team, the patient was asymptomatic and fully functional with a considerably improved quality of life.<\/jats:p>","DOI":"10.1136\/bcr-2023-255631","type":"journal-article","created":{"date-parts":[[2023,12,21]],"date-time":"2023-12-21T12:35:55Z","timestamp":1703162155000},"page":"e255631","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic deroofing of a large hepatic cyst to relieve atypical cardiac symptoms"],"prefix":"10.1136","volume":"16","author":[{"given":"Mihir","family":"Rao","sequence":"first","affiliation":[{"name":"Leeds Teaching Hospitals NHS Trust, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bishow","family":"Karki","sequence":"additional","affiliation":[{"name":"Leeds Teaching Hospitals NHS Trust, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Jeffery","sequence":"additional","affiliation":[{"name":"Leeds Teaching Hospitals NHS Trust, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul","family":"Hakeem","sequence":"additional","affiliation":[{"name":"Leeds Teaching Hospitals NHS Trust, Leeds, UK"},{"name":"University of Leeds, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,12,21]]},"reference":[{"key":"2025082800432135000_16.12.e255631.1","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2019-230243","article-title":"Simple hepatic Cyst rupture exacerbated by anticoagulation","volume":"12","author":"Tong","year":"2019","journal-title":"BMJ Case Rep"},{"key":"2025082800432135000_16.12.e255631.2","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1272\/jnms.JNMS.2022_89-115","article-title":"Management of simple hepatic Cyst","volume":"89","author":"Shimizu","year":"2022","journal-title":"J Nippon Med Sch"},{"key":"2025082800432135000_16.12.e255631.3","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2014.213"},{"key":"2025082800432135000_16.12.e255631.4","doi-asserted-by":"publisher","DOI":"10.1016\/S1055-3207(02)00035-2"},{"key":"2025082800432135000_16.12.e255631.5","first-page":"667","article-title":"A case of hepatic Cyst-induced inferior vena cava thrombosis","volume":"30","author":"Moon","year":"2014","journal-title":"Pak J Med Sci"},{"issue":"sep17 1","key":"2025082800432135000_16.12.e255631.6","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2013-009638","article-title":"Laparoscopic resection of a large hepatic Cyst compressing the inferior vena cava","volume":"2013","author":"Green","year":"2013","journal-title":"BMJ Case Rep"},{"key":"2025082800432135000_16.12.e255631.7","unstructured":"Lawrensia S , Khan YS . 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