Bonilla Larrama Luis F, Alas-Pineda Cesar U, Pacheco Anahi G, Díaz-Cerrato Victoria S, Molinero Leiva Karla P
Centro Médico Quirúrgico CIMEQ, El Progreso, Yoro, Honduras.
Departamento de Medicina Interna. Hospital Nacional Dr. Mario Catarino Rivas, San Pedro Sula, Cortes, Honduras.
Radiol Case Rep. 2024 Oct 4;20(1):1-5. doi: 10.1016/j.radcr.2024.09.080. eCollection 2025 Jan.
This case report describes a 23-year-old male who was incidentally diagnosed with Caroli disease while investigating symptoms of recurrent upper quadrant pain and fever. Imagining studies, including magnetic resonance cholangiography revealed the "central dot sign," which is pathognomonic for this condition, along with cystic dilatations of the intrahepatic bile ducts and the presence of biliary stones. The diagnosis was confirmed and treatment with ursodeoxycholic acid led to a notable reduction in symptoms. This case underscores the need for further research and understanding to develop more effective diagnostic and treatment strategies. Regular follow-up remains essential for managing disease progression and preventing complications.
本病例报告描述了一名23岁男性，他在调查复发性上腹部疼痛和发热症状时偶然被诊断为卡罗里病。影像学检查，包括磁共振胆胰管造影，显示出“中心点征”，这是该疾病的特征性表现，同时伴有肝内胆管囊性扩张和胆结石。诊断得到证实，使用熊去氧胆酸治疗后症状明显减轻。该病例强调了进一步研究和了解以制定更有效诊断和治疗策略的必要性。定期随访对于控制疾病进展和预防并发症仍然至关重要。
