Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of isolated polycystic liver disease (PLD). Reports [asymptomatic / abdominal distension / early satiety / RUQ discomfort]. Denies symptoms of polycystic kidney disease (PKD). No history of renal cysts on prior imaging. Family history [positive/negative] for hepatic cystic disease. No evidence of portal hypertension or biliary obstruction.
Clinical Examination Findings
Abdomen: Distended, non-tender to palpation. Hepatomegaly noted with palpable, irregular, firm nodular liver edge extending [X] cm below the right costal margin. No shifting dullness or fluid wave. Bowel sounds normal. No clinical stigmata of chronic liver disease (spider angiomata, palmar erythema, or caput medusae).
Treatment Protocol
Management plan: [Observation / Somatostatin analogues / Cyst aspiration / Sclerotherapy / Liver resection / Liver transplantation]. Monitor liver function tests (LFTs) and imaging (MRI/CT) every [X] months. Symptomatic management for pain with non-narcotic analgesics. Referral to hepatobiliary surgery for evaluation of symptomatic mass effect.