Falco E, Nardini A, Celoria G, Briglia R, Stefani R, Gadducci G, Belloni E
II Divisione di Chirurgia Generale, Ospedale Civile Sant'Andrea, La Spezia.
Minerva Chir. 1993 Sep 15;48(17):961-4.
The authors report a case of Caroli's disease associated with cholangiocarcinoma. The patient presented with pain and jaundice and ultrasonography disclosed multiple common bile duct stones, cystic dilatation of the extrahepatic biliary tree and a mass in the right lobe of the liver. At operation, after a frozen section demonstrated cholangiocarcinoma, a common bile duct exploration, right hepatic lobectomy and hepato-jejunostomy were performed. They review the literature on the subject and stress the fact that hepatic tumors are associated with Caroli's disease in 7% of cases. Therefore, in these patients, when a stenosis of the biliary tree is found, multiple diagnostic manoeuvres are indicated in order to exclude the presence of malignancy.
作者报告了一例与胆管癌相关的卡罗里病病例。患者表现为疼痛和黄疸,超声检查发现多发胆总管结石、肝外胆管树囊性扩张以及肝右叶有一肿块。手术时,在冰冻切片显示为胆管癌后,进行了胆总管探查、右肝叶切除术和肝空肠吻合术。他们回顾了关于该主题的文献,并强调肝肿瘤在7%的病例中与卡罗里病相关这一事实。因此,对于这些患者,当发现胆管树狭窄时,需要进行多项诊断操作以排除恶性肿瘤的存在。