Abstract
A 27-year-old man was admitted to Nagasaki University Hospital complaining of fever. Percutaneous trans-hepatic cholangiography revealed multiple cystic dilatations of the intrahepatic bile ducts of the right lobe, as well as three obvious cystic dilatations and several small dilatations of the intrahepatic bile ducts of the left lobe. An extended right lobectomy was performed. However, the patient later suffered from repeated cholangitis and required the administration of antibiotics as a result of remnant cystic dilatations and stricture of the extrahepatic bile duct following hepatectomy. A slight enlargement of the remnant cystic dilatations, but no new cystic dilatations, were also recognized in the regenerating liver. We reviewed nine cases of hepatectomy for Caroli's disease reported in the Japanese literature, as well as our own case. Among these, four of the seven patients subjected to hepatic resection involving unilateral lobe demonstrated a good recovery. On the other hand, it is difficult to successfully treat Caroli's disease involving both lobes of the liver by hepatic resection.
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Caroli J, Soupault R, Kosakowahi J, Plocker L, Paradowska M (1958) La dilatation polykystique congenitale des voies bilaires intrahepatiques. Essai de classification. Sem Hop Paris 34:128–135
Watts DR, Lorenzo GA, Beal JM (1974) Congenital dilatation of the intrahepatic biliary ducts. Arch Surg 108:592–598
Turnberg LA, Jones EA, Sherlock S (1968) Biliary secretion in a patient with cystic dilatation of the intrahepatic biliary tree. Gastroenterology 54:1155–1161
Murray-Lyon IM, Shilkin KB, Laws JW, Illing RC, Williams R (1972) Non-obstructive dilatation of the intrahepatic biliary tree with cholangitis. Q J Med 41:477–489
Okamura S, Takahashi M, Kobayashi N, Yoshimoto A, Tanabe A, Mimura T, Ikeda T, Furumoto F, Asakura H, Hatayama T (1991) A case report of successful right lobectomy of Caroli's disease and literature review of operated cases in Japan (in Japanese). Nippon Shyokaki Geka Gakkai Zasshi (Jpn J Gastroenterol Surg) 24:2022–2026
Mitsunobu M, Uematsu K, Kakudo K, Kanokogi M, Sawada K, Okamoto E, Toyosaka A, Suzuki E (1983) An autopsy case of Caroli's disease (in Japanese). Kanzo (Acta Hepat Jap) 24:1313–1320
Ono M, Tika A, Matsubara R (1983) A case of Caroli's disease with liver abscesses successfully treated by hepatectomy (in Japanese). Chiba Ishikaiho (Report of the Chiba Medical Association) 94
Higashino Y, Noto T, Kurachi M, Nagakawa T, Miyazaki I, Nakanuma Y, Ota G (1984) Caroli's disease: Report of a case and review of the Japanese literature (in Japanese). Tan to Sui (J Biliary tract and pancreas) 5:605–612
Fukai T, Kikukawa M, Yoshida H, Hotta A, Yosikawa T, Sakurai T, Hata Y, Uchimoto I (1984) A case of Caroli's disease with complete atrophy affecting hepatic segment (in Japanese). Nippon Rinsho Geka Gakkai Zasshi (J Jpn Soc Clin Surg) 45:468–473
Nasu R, Tanimizu M, Ogawa H, Kawai K, Hitomi Y, Yamamoto Y, Kitamura M, Doi K, Hamano K (1985) A case of Caroli's disease (in Japanese). Nippon Shyokakibyo Gakkai Zasshi (Jpn J Gastroenterol) 82:2180
Hara T, Ishiyama S, Yagi S, Iizawa H, Yoshimura N, Sato K, Midorikawa Y, Tsukamoto M (1987) A case of Caroli's disease successfully treated by anterior segmentectomy of the liver (in Japanese). Shyokaki Geka (Gastroenterol Surg) 10:1033–1036
Yamachika H, Ishihara A, Hatsutori K (1988) A case report of right lobectomy of Caroli's disease (in Japanese). Nippon Shyokakibyo Gakkai Zasshi (Jpn J Gastroenterol) 85:334
Haruta I, Shindou H, Hayashi N, Kuboi H, Adachi H, Kubo S, Katoho Y, Yoneshima M, Kubota T, Doki H, Fukushima Y, Imaizumi T, Nakamura M, Hanyu H, Obata H (1989) Two cases in siblings of congenital multiple cystic dilatations of peripheral intrahepatic bile ducts (in Japanese). Nippon Shyokakibyo Gakkai Zasshi (Jpn J Gastroenterol) 86:1335–1339
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Izawa, K., Tanaka, K., Furui, J. et al. Extended right lobectomy for caroli's disease: Report of a case and review of hepatectomized cases in Japan. Surg Today 23, 649–655 (1993). https://doi.org/10.1007/BF00311917
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DOI: https://doi.org/10.1007/BF00311917