Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
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Case Report

Volume 16, Number 12, December 2025, pages 487-492

Anesthetic Challenges in the Management of a Rare Giant Biliary Mucinous Cystadenoma With Major Vascular Compression

Figures

Figure 1.
Figure 1. Abdominal ultrasonography showing a sizeable, septated, predominantly hypoechoic mass.
Figure 2.
Figure 2. Coronal contrast-enhanced computed tomography (CT) scan showing a giant biliary mucinous cystadenoma. (a) Compression of the inferior vena cava (red arrow). (b) Compression of the left (arrow 1) and the right (arrow 2) portal veins. (c) Displacement of abdominal structures (arrow 1) and the right kidney (arrow 2) to the left. (d) Compression of the left portal vein (red arrow).
Figure 3.
Figure 3. Surgical images obtained after laparotomy illustrating: (a) careful dissection with hepatic vessels and bile duct marked using color-coded loops; (b) the resected tumor measuring approximately 32 × 22 × 24 cm.