Laparoscopic resection of a large hepatic cyst compressing the inferior vena cava.

DESCRIPTION A 67-year-old man presented with sudden onset shortness of breath that began while playing golf. Abdominal examination revealed a large mass extending to the umbilicus. CT pulmonary angiog-raphy demonstrated a pulmonary embolus and a Figure 1 Axial section of abdominal CT reveals a large hepatic cyst in the right lobe of the liver. Figure 2 Coronal section of a T2-weighted MRI showing compression of the inferior vena cava by a large hepatic cyst. Figure 3 Intraoperative images demonstrating (A) large hepatic cyst on the right lobe of the liver, (B) excision of hepatic cyst laparoscopically, (C) inferior vena cava compression from large cyst with no evidence of thrombosis and (D) cholecystectomy.