Summary
A 27-year-old woman was admitted to Nagasaki University Hospital complaining of abdominal pain and fever. Percutaneous transhepatic cholangiography showed multiple cystic dilatations of the intrahepatic bile ducts without stone formation. The illness was diagnosed as a pure type of Caroli’s disease. No surgical intervention was made. Subsequently, the patient suffered repeated attacks of cholangitis, and six years later, computed tomography demonstrated cystic lesions of both lobes of the liver and stones within the cystic lesions of the right lobe. We collected 62 cases of Caroli’s disease reported in the Japanese literature, including our own case. Among them, cholangitis was found in 43.5%, hepatolithiasis in 30.6%, esophageal varices in 17.7% and cholangiocarcinoma in 8.1%. It is difficult to successfully treat Caroli’s disease involving both lobes of the liver. Long-term repeated cholangitis could lead to fibrosis of the liver, hepatolithiasis, portal hypertension and cholangiocarcinoma. Considering the above-mentioned aspects of the disease, careful follow-up studies are required in each case.
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Caroli J, Soupault R, Kosakowaki J, et al: La dilatation polykystique congenitale des voies bilaires intrahepatiques. Essai de classification. Sem des Hop Paris 1958;34:128–135
Barros JL, Polo JR, Sanabia J, et al: Congenital cystic dilatation of the intrahepatic bile ducts (Caroli’s disease): Report of a case and review of the literature. Surgery 1979;85:589–592
Dayton Mt, Longmire WP, Tompkins RK: Caroli’s disease: A premalignant condition? Am J Surg 1983;145:41–48
Yamamoto K, Tsuchiya R, Ito T, et al: A study of cholangiocarcinoma coexistent with hepatolithiasis. Jpn J Gastroenterol Surg 1984;17:601–609 (in Japanese)
Ota T, Nagakawa T, Konishi I, et al: Clinicopathological study on hepatolithiasis associated with intrahepatic cholangiocarcinoma or cholangioma. Jpn J Gastroenterol Surg 1987;20:748–753 (in Japanese)
Nasu S, Sakurai M, Miyagi T: Cholangiocarcinoma arising in intrahepatic bile duct cyst.Nipponrinshō 1971;29:3075–8081 (in Japanese)
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Tsunoda, T., Furui, J., Yamada, M. et al. Caroli’s disease associated with hepatolithiasis: A case report and review of the Japanese literature. Gastroenterol Jpn 26, 74–79 (1991). https://doi.org/10.1007/BF02779513
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DOI: https://doi.org/10.1007/BF02779513