#VATS #Excision #Chest #wall #Schwanoma #Laparoscopic #partial #pericystectomy #left #lobe #liver
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A younger lady was evaluated by a Gastrophysician for dyspepsia and occasiinal higher belly ache and on USG scan was discovered to have a cystic lesion left lobe of liver with IHBR dilatation.affected person was additional evaluated and advises MRCP which revealed a cystic lesion of virtually 8x6x6 cms in seg iv of liver with daughter cysts and focal IHBR dilatation with none biliary communication.Additional a notice was product of the same lesion in decrease lobe of left lung by the radiologist.
affected person was deliberate for VATS and laparoscopy and to our shock we couldn’t discover any lung cyst. Their was a gentle,fleshy, vascular tumor arising from chest wall very near descending aorta. Tumor was shaved off fully from the chest wall and despatched for HPE which revealed options suggestive of Schwanoma which is a benign nerve sheath tumor.
On laparoscopy a big left lobe cystic lesion with a big exophytic part was discovered.Partial pericystectomy was finished and no biliary communication was seen.
put up op interval was uneventful and affected person went house on third POD with cavity drain which was pulled out on 14th POD.
affected person obtained chemo for six months with good restoration on comply with up scans.
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