[Caroli's disease associated with cholangiocarcinoma. A case of our own observation].
The authors report a case of Caroli's disease associated with cholangiocarcinoma. The patient presented with pain and jaundice and ultrasonography disclosed multiple common bile duct stones, cystic dilatation of the extrahepatic biliary tree and a mass in the right lobe of the liver. At operation, after a frozen section demonstrated cholangiocarcinoma, a common bile duct exploration, right hepatic lobectomy and hepato-jejunostomy were performed. They review the literature on the subject and stress the fact that hepatic tumors are associated with Caroli's disease in 7% of cases. Therefore, in these patients, when a stenosis of the biliary tree is found, multiple diagnostic manoeuvres are indicated in order to exclude the presence of malignancy.
Falco
E
E
II Divisione di Chirurgia Generale, Ospedale Civile Sant'Andrea, La Spezia.
Nardini
A
A
Celoria
G
G
Briglia
R
R
Stefani
R
R
Gadducci
G
G
Belloni
E
E
D000368:Aged; D001650:Bile Duct Neoplasms / Q000175:diagnosis* / Q000601:surgery; D001653:Bile Ducts, Intrahepatic / Q000601:surgery; D016767:Caroli Disease / Q000175:diagnosis* / Q000601:surgery; D018281:Cholangiocarcinoma / Q000175:diagnosis* / Q000601:surgery; D002769:Cholelithiasis / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008297:Male
Malattia di Caroli associata a colangiocarcinoma. Un caso di nostra osservazione.