Re-resection of remnant Caroli syndrome six years after the first resection (case report)
| Autor: | Astride Bauschke, Utz Settmacher, Falk Rauchfuss, Ahmed S. Zidan, H. Scheuerlein |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Liver resection Caroli disease business.industry Intrahepatic bile ducts medicine.disease Re resection Surgery Intraoperative ultrasound Resection 03 medical and health sciences 0302 clinical medicine Recurrence 030220 oncology & carcinogenesis Case report medicine Congenital hepatic fibrosis 030211 gastroenterology & hepatology Presentation (obstetrics) business Liver abscess |
| Zdroj: | International Journal of Surgery Open. 3:8-10 |
| ISSN: | 2405-8572 |
| DOI: | 10.1016/j.ijso.2016.04.004 |
| Popis: | Introduction Caroli syndrome is characterized as multiple cystic or saccular dilatations of intrahepatic bile ducts (Caroli disease) and congenital hepatic fibrosis. Diagnosis depends on histological features and imaging, which shows communications between the sacculi and bile ducts. Presentation of a case In our case, the patient had segments II/III liver resection six years ago for Caroli syndrome. A follow-up CT after four months of the operation revealed remnant cysts in segment IV, which needed another surgical intervention to resect the remnant cysts and segment IV after six years from the first operation. Disscussion In our case, we were surprised that patient has remnant of the primary benign disease in the follow-up CT after only four months of the previous operation. This remnant continued to increase in size with recurrent attacks of cholangitis until liver abscess developed and required another surgical intervention. Conclusion Imaging is essential in planning the operative treatment to detect the extent of the Caroli disease and define the extent of resection. Any residual disease due to inappropriate imaging planning may cost the patient another cycle of suffering and may need another surgical intervention as in our case. We recommend using intraoperative ultrasound for accurate determination of the line of resection. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|