Kumar K S, Nair S, Hertan H I, Grover H
Department of Medicine, Our Lady of Mercy Medical Center, Bronx, New York 10466, USA.
J Clin Gastroenterol. 2001 Jan;32(1):79-81. doi: 10.1097/00004836-200101000-00018.
We describe a case of possible monolobar Caroli's disease in a patient with acquired immune deficiency syndrome (AIDS) who presented with features of cholangitis. Diagnostic workup, which included endoscopic retrograde cholangiography, revealed focal intrahepatic biliary dilatation confined to the right lobe. The patient subsequently underwent right hepatic lobectomy. Pathology revealed multiple cysts filled with calculi and inflammation in the cyst walls. Special stain results for fungi and acid-fast organisms were negative. The presence of advanced AIDS in this patient raised the possibility of this being a possible manifestation of AIDS cholangiopathy.
我们描述了一例获得性免疫缺陷综合征（AIDS）患者可能的单叶型卡罗里病，该患者表现为胆管炎特征。包括内镜逆行胆管造影在内的诊断检查显示，局灶性肝内胆管扩张局限于右叶。该患者随后接受了右肝叶切除术。病理检查发现多个囊肿，囊内充满结石，囊壁有炎症。真菌和抗酸菌的特殊染色结果均为阴性。该患者存在晚期AIDS，这增加了本病可能是AIDS胆管病一种表现的可能性。
