Late complication after laparoscopic fenestration of a liver cyst.

We report the case of a serious complication resulting from laparoscopic fenestration of a hepatic cyst. Seven months after the procedure had been performed, the cyst had recurred and ruptured, leading to massive bleeding. Bleeding control and enucleation of the cyst were carried out successfully by conventional surgery. The patient recovered rapidly after an uneventful postoperative period, and no recurrence of the liver cyst was found 20 months after our intervention. This case emphasizes the importance of a strict follow-up and determination of the outcome for this new application of laparoscopic surgery.