Korean J Gastrointest Endosc.
2006 Jan;32(1):71-74.
Caroli's Disease Combined with Colon Cancer and Polycystic Kidney Disease
- Affiliations
-
- 1Department of Internal Medicine, Hangang Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. jinleeprof@hanmail.net
Abstract
- Caroli's disease is defined as a communication between congenital cystic dilatation of the bile duct and the biliary system. Caroli's disease accompanied with autosomal dominant polycystic kidney disease is a very rare finding and the differential diagnosis between Caroli's disease with polycystic kidney disease and a polycystic liver is very important. A 67-year-old male patient was admitted to our hospital for hematochezia, and he underwent hemodialysis for chronic renal failure due to his autosomal dominant polycystic kidney disease. On colonoscopy, ulcero-infiltrative tumor was observed in the sigmoid colon. It was diagnosed as adenocarcinoma on tissue biopsy. On abdominal computerized tomography and magnetic resonance cholangiopancreatography, a number of simple cysts was observed in both kidneys and we were able to identify the communication between the dilated intrahepatic ducts and the intrahepatic cystic lesions, and so we diagnosed this patient as having Caroli's disease.
MeSH Terms
-
Adenocarcinoma
Aged
Bile Ducts
Biliary Tract
Biopsy
Caroli Disease*
Cholangiopancreatography, Magnetic Resonance
Colon*
Colon, Sigmoid
Colonic Neoplasms*
Colonoscopy
Diagnosis, Differential
Dilatation
Gastrointestinal Hemorrhage
Humans
Kidney
Kidney Failure, Chronic
Liver
Male
Polycystic Kidney Diseases*
Polycystic Kidney, Autosomal Dominant
Renal Dialysis
