LAUSR

Shehi et al. [1] report on a 69-year-old Hispanic man who presented to the hospital with complaints of right upper quadrant pain for the past 3 days without any history of trauma to the abdomen. Multiple renal and liver cysts were incidentally diagnosed 2 years previously during a routine ultrasound in the patient’s medical history. The patient was on oral apixaban because of COVID-19 pneumonia, elevated D-dimer levels, and a high risk of thromboembolic events. The patient received intravenous fluids, and blood transfusion and apixaban were stopped. Then, the patient underwent laparoscopic deroofing and partial resection of the liver, including a large cyst with adhesions to the abdominal wall. Histopathology discovered a fibrotic cyst wall with hemosiderin deposition and features of fibro-polycystic liver disease. After surgery, he recovered and was successfully discharged home [1].