{"id":"https://openalex.org/W7223174333","doi":"https://doi.org/10.1136/bcr-2026-275824","title":"Obstructive cholestasis without biliary dilatation from a hepatic cyst","display_name":"Obstructive cholestasis without biliary dilatation from a hepatic cyst","publication_year":2026,"publication_date":"2026-10-01","ids":{"openalex":"https://openalex.org/W7223174333","doi":"https://doi.org/10.1136/bcr-2026-275824","pmid":"https://pubmed.ncbi.nlm.nih.gov/42914191","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13691455"},"language":"en","primary_location":{"id":"doi:10.1136/bcr-2026-275824","doi":"https://doi.org/10.1136/bcr-2026-275824","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bcr-2026-275824","pdf_url":null,"source":{"id":"https://openalex.org/S141953298","display_name":"BMJ Case Reports","issn_l":"1757-790X","issn":["1757-790X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Case Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1136/bcr-2026-275824","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5119011304","display_name":"Binyam Hundito","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800363604","display_name":"Walter Reed National Military Medical Center","ror":"https://ror.org/025cem651","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330347796","https://openalex.org/I2800250139","https://openalex.org/I2800363604","https://openalex.org/I2800386880"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Binyam Hundito","raw_affiliation_strings":["General Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland, USA","Walter Reed National Military Medical Center, Bethesda, Maryland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"General Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland, USA","institution_ids":["https://openalex.org/I2800363604"]},{"raw_affiliation_string":"Walter Reed National Military Medical Center, Bethesda, Maryland, USA","institution_ids":["https://openalex.org/I2800363604"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159251578","display_name":"Sarah Wright","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800363604","display_name":"Walter Reed National Military Medical Center","ror":"https://ror.org/025cem651","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330347796","https://openalex.org/I2800250139","https://openalex.org/I2800363604","https://openalex.org/I2800386880"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sarah Wright","raw_affiliation_strings":["General Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland, USA","Walter Reed National Military Medical Center, Bethesda, Maryland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"General Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland, USA","institution_ids":["https://openalex.org/I2800363604"]},{"raw_affiliation_string":"Walter Reed National Military Medical Center, Bethesda, Maryland, USA","institution_ids":["https://openalex.org/I2800363604"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159247187","display_name":"Aaron Brown","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800363604","display_name":"Walter Reed National Military Medical Center","ror":"https://ror.org/025cem651","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330347796","https://openalex.org/I2800250139","https://openalex.org/I2800363604","https://openalex.org/I2800386880"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Aaron Brown","raw_affiliation_strings":["Department of Gastroenterology, Walter Reed National Military Medical Center, Bethesda, Maryland, USA","Department of Medicine, Walter Reed National Military Medical Center, Bethesda, Maryland, USA","Walter Reed National Military Medical Center, Bethesda, Maryland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gastroenterology, Walter Reed National Military Medical Center, Bethesda, Maryland, USA","institution_ids":["https://openalex.org/I2800363604"]},{"raw_affiliation_string":"Department of Medicine, Walter Reed National Military Medical Center, Bethesda, Maryland, USA","institution_ids":["https://openalex.org/I2800363604"]},{"raw_affiliation_string":"Walter Reed National Military Medical Center, Bethesda, Maryland, USA","institution_ids":["https://openalex.org/I2800363604"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159235420","display_name":"Howard Lee","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800363604","display_name":"Walter Reed National Military Medical Center","ror":"https://ror.org/025cem651","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330347796","https://openalex.org/I2800250139","https://openalex.org/I2800363604","https://openalex.org/I2800386880"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Howard Lee","raw_affiliation_strings":["Department of Gastroenterology, Walter Reed National Military Medical Center, Bethesda, Maryland, USA","Department of Medicine, Walter Reed National Military Medical Center, Bethesda, Maryland, USA","Walter Reed National Military Medical Center, Bethesda, Maryland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Gastroenterology, Walter Reed National Military Medical Center, Bethesda, Maryland, USA","institution_ids":["https://openalex.org/I2800363604"]},{"raw_affiliation_string":"Department of Medicine, Walter Reed National Military Medical Center, Bethesda, Maryland, USA","institution_ids":["https://openalex.org/I2800363604"]},{"raw_affiliation_string":"Walter Reed National Military Medical Center, Bethesda, Maryland, USA","institution_ids":["https://openalex.org/I2800363604"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5159233261","display_name":"Sharon R Weeksgroh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800363604","display_name":"Walter Reed National Military Medical Center","ror":"https://ror.org/025cem651","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330347796","https://openalex.org/I2800250139","https://openalex.org/I2800363604","https://openalex.org/I2800386880"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sharon R Weeksgroh","raw_affiliation_strings":["General Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland, USA","Walter Reed National Military Medical Center, Bethesda, Maryland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"General Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland, USA","institution_ids":["https://openalex.org/I2800363604"]},{"raw_affiliation_string":"Walter Reed National Military Medical Center, Bethesda, Maryland, USA","institution_ids":["https://openalex.org/I2800363604"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5119011304"],"corresponding_institution_ids":["https://openalex.org/I2800363604"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.81307223,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"19","issue":"10","first_page":"e275824","last_page":"e275824"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10518","display_name":"Gallbladder and Bile Duct Disorders","score":0.9014000296592712,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10518","display_name":"Gallbladder and Bile Duct Disorders","score":0.9014000296592712,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10351","display_name":"Liver Disease Diagnosis and Treatment","score":0.0406000018119812,"subfield":{"id":"https://openalex.org/subfields/2721","display_name":"Hepatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12460","display_name":"Pediatric Hepatobiliary Diseases and Treatments","score":0.034699998795986176,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/obstructive-cholestasis","display_name":"obstructive cholestasis","score":0.8799999952316284},{"id":"https://openalex.org/keywords/liver-cysts","display_name":"liver cysts","score":0.9399999976158142},{"id":"https://openalex.org/keywords/cyst-recurrence","display_name":"cyst recurrence","score":0.6129999756813049},{"id":"https://openalex.org/keywords/percutaneous-aspiration","display_name":"percutaneous aspiration","score":0.871999979019165},{"id":"https://openalex.org/keywords/hyperbilirubinemia","display_name":"hyperbilirubinemia","score":0.9570000171661377},{"id":"https://openalex.org/keywords/cholestatic-liver-injury","display_name":"cholestatic liver injury","score":0.6980000138282776}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8213000297546387},{"id":"https://openalex.org/C2778593092","wikidata":"https://www.wikidata.org/wiki/Q1075923","display_name":"Cholestasis","level":2,"score":0.5339000225067139},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5120999813079834},{"id":"https://openalex.org/C3018539635","wikidata":"https://www.wikidata.org/wiki/Q133244","display_name":"Obstructive jaundice","level":2,"score":0.504800021648407},{"id":"https://openalex.org/C90924648","wikidata":"https://www.wikidata.org/wiki/Q120569","display_name":"Gastroenterology","level":1,"score":0.489300012588501},{"id":"https://openalex.org/C2775982439","wikidata":"https://www.wikidata.org/wiki/Q3562150","display_name":"Biliary tract","level":2,"score":0.3880000114440918},{"id":"https://openalex.org/C2780597408","wikidata":"https://www.wikidata.org/wiki/Q193211","display_name":"Cyst","level":2,"score":0.31679999828338623},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.28220000863075256},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.2754000127315521},{"id":"https://openalex.org/C2994419564","wikidata":"https://www.wikidata.org/wiki/Q1072420","display_name":"Biliary cirrhosis","level":4,"score":0.26159998774528503},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.26030001044273376},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.2508000135421753}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1136/bcr-2026-275824","doi":"https://doi.org/10.1136/bcr-2026-275824","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bcr-2026-275824","pdf_url":null,"source":{"id":"https://openalex.org/S141953298","display_name":"BMJ Case Reports","issn_l":"1757-790X","issn":["1757-790X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Case Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13691455","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13691455/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13691455/pdf/bcr-19-10.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Case Rep","raw_type":"Text"},{"id":"pmid:42914191","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42914191","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ case reports","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1136/bcr-2026-275824","doi":"https://doi.org/10.1136/bcr-2026-275824","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bcr-2026-275824","pdf_url":null,"source":{"id":"https://openalex.org/S141953298","display_name":"BMJ Case Reports","issn_l":"1757-790X","issn":["1757-790X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Case Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9940000176429749,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7223174333.pdf","grobid_xml":"https://content.openalex.org/works/W7223174333.grobid-xml"},"referenced_works_count":8,"referenced_works":["https://openalex.org/W182610973","https://openalex.org/W1492167509","https://openalex.org/W2019022374","https://openalex.org/W2417478505","https://openalex.org/W2557118889","https://openalex.org/W2808857751","https://openalex.org/W4321437980","https://openalex.org/W4412376762"],"related_works":["https://openalex.org/W2019022374","https://openalex.org/W7113904346","https://openalex.org/W2557118889","https://openalex.org/W2062541206","https://openalex.org/W2023182694","https://openalex.org/W2006283826","https://openalex.org/W2044739661","https://openalex.org/W2808857751","https://openalex.org/W2413685852","https://openalex.org/W2075562258"],"abstract_inverted_index":{"Simple":[0],"hepatic":[1,28],"cysts":[2],"are":[3],"usually":[4],"benign":[5],"and":[6,40,48,68,82,99,117],"asymptomatic":[7],"but":[8,66],"may":[9,96],"rarely":[10],"cause":[11],"cholestasis":[12,69],"from":[13],"biliary":[14,57,94,123],"compression.":[15],"We":[16],"report":[17],"a":[18,24,118],"man":[19],"in":[20,79],"his":[21],"70s":[22],"with":[23,71,110],"recurrent":[25],"large":[26],"haemorrhagic":[27],"cyst":[29,72,76,119],"who":[30],"developed":[31],"right":[32],"upper":[33],"quadrant":[34],"pain,":[35],"early":[36],"satiety,":[37],"dark":[38],"urine":[39],"marked":[41],"obstructive-pattern":[42],"liver":[43,114],"injury":[44],"despite":[45],"repeated":[46],"CT":[47],"magnetic":[49],"resonance":[50],"cholangiopancreatography":[51],"showing":[52],"no":[53],"intrahepatic":[54],"or":[55],"extrahepatic":[56],"ductal":[58,104,127],"dilatation.":[59],"Percutaneous":[60],"aspiration":[61],"produced":[62],"partial":[63],"biochemical":[64],"improvement,":[65],"symptoms":[67],"persisted":[70],"recurrence.":[73],"Definitive":[74],"robotic":[75],"fenestration":[77],"resulted":[78],"rapid":[80],"improvement":[81],"sustained":[83],"resolution":[84],"of":[85,122,126],"hyperbilirubinaemia":[86],"at":[87],"follow-up.":[88],"This":[89],"case":[90],"highlights":[91],"that":[92],"cyst-related":[93,132],"obstruction":[95],"be":[97],"clinically":[98],"biochemically":[100],"significant":[101],"even":[102],"without":[103],"dilatation":[105,128],"on":[106],"imaging.":[107],"In":[108],"patients":[109],"compatible":[111],"symptoms,":[112],"cholestatic":[113],"chemistry":[115],"abnormalities":[116],"anatomically":[120],"capable":[121],"compression,":[124],"absence":[125],"should":[129],"not":[130],"exclude":[131],"obstruction.":[133]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-22T00:00:00"}
