Diagnostic assessments:
Blood work up included complete blood count, serum electrolytes, liver
function tests, renal function tests, INR, RCT and Hepatitis surface
antigens (Table 1). CT scan was done and it revealed a huge cystic mass
in the right upper quadrant extending inferiorly to the right lumbar
region, surrounded by a thin enhancing wall on intravenous contrast. It
was continuous with common bile duct and was compressing the gall
bladder, head of pancreas and the right kidney (Figure 3). There was no
focal or diffuse masses seen on the liver and there was no regional
lymphadenopathy.
Table 2: Laboratory tests showing pre-operative and post-operative
results