Legends
Figure 1: Computed tomography and intraoperative
images
a and b : Cross-sectional and coronal Computed tomography images
showing hepatic cyst in the left lobe of the liver with enhancing
sepatation giving a bilobed appearance with adjacent transient hepatic
attenuation difference and left lobar atrophy. The cyst abuts the middle
hepatic vein. Mild dilated intrahepatic bile duct ducts in the atrophic
liver seem to communicate with the cyst (yellow arrow).
c: Intraoperative images showing bilobed cyst in the left lobe
of the liver (white arrows).
d: Image after left lobe and Spigelian caudate resection. White
arrow indicates inferior vena cava and middle hepatic vein.
Figure 2: Histopathology images
a: variable size of cyst
b: Larger view of cyst containing fluid
c: Cyst lined by single layer of columnar to cuboidal cells
d: Section from rest liver shows fibrosis forming a incomplete
nodules
e: Masson’s trichrome stain highlights the fibrosis
f: Reticulin stain highlights the fibrosis encircling
hepatocytes forming a parenchymal nodule