Giant biliary cyst rupture during pregnancy. A case report

Biliary-hepatic cyst is a rare benign cystic neoplasm that in most cases occurs inside the intrahepatic bile ducts. Clinical signs and symptoms are non-specific, and there is no single treatment strategy. Modern highly informative imaging methods, such as ultrasound, computed tomography and magnetic resonance imaging, in most cases allow the diagnosis of biliary cysts, however, during pregnancy, especially in the second and third trimesters, diagnosis can be significantly complicated due to the large size of the uterus. The article presents a rare case of biliary cyst rupture in a pregnant woman diagnosed during laparotomy. The patient was admitted for emergency surgery with a preliminary diagnosis of a rupture of a giant ovarian cyst. During the surgery, it was found that a biliary cyst emanating from the liver had ruptured, followed by the development of biliary peritonitis, which required the involvement of an abdominal surgeon to excise the cyst capsule along with the gallbladder. For further treatment, the patient was transferred to a specialized surgical department of a multidisciplinary hospital. The course of the postoperative period passed without complications. The patient was discharged from the hospital in a satisfactory condition on the 10th day.