Our patient also presented with abdominal pain and distension. In addition, she had an epigastric mass which mimicked the presentation of a post traumatic pseudopancreatic cyst, both clinically and radiologically. The bleeding may stop, while flow of bile may continue and hence the cyst continues to grow. Many workers who described post traumatic hepatic pseudocysts, did so in the pre imaging era. They also highlighted the importance of serial CT examinations.
Diagnosis is established by the nature and location of the mass at surgery.
Generally, the results of treatment by any of the described methods were found to be satisfactory. In the present case, we excised the cyst and the capitonnage of the remaining cavity was done using mutliple stitches from compressed liver parenchyma. This entity should be kept in differential diagnosis of post traumatic pseudopancreatic cyst. Treatment of capitonnage may be resorted to in cases of large cysts. Christopher F. Rupture of the liver.