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