Zangger P, Grossholz M, Mentha G, Lemoine R, Graf J D, Terrier F
Department of Radiology, Hôpital Cantonal Universitaire de Genève, Switzerland.
Abdom Imaging. 1995 Jul-Aug;20(4):361-4. doi: 10.1007/BF00203372.
This paper reports a case of Caroli's disease confined to the left lobe of the liver that mimicked left portal vein thrombosis on MRI studies because of the very high signal intensity on T1-weighted images of intrahepatic pigmented calculi. The preoperative diagnosis was a cholangiocarcinoma infiltrating the left hepatic bile duct and portal branch. The final macroscopic and histological diagnosis was Caroli's disease of the left liver lobe with wide enlarged left bile duct containing multiple pigmented calculi.
本文报告一例局限于肝左叶的卡罗利病，在磁共振成像（MRI）检查中，由于肝内色素结石在T1加权图像上信号强度极高，该病酷似左门静脉血栓形成。术前诊断为胆管癌侵犯左肝内胆管和门静脉分支。最终大体及组织学诊断为左肝叶卡罗利病，左肝内胆管广泛扩张，内有多个色素结石。
