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CASE REPORT
Year : 2017  |  Volume : 2  |  Issue : 1  |  Page : 23-25

Monolobar caroli's disease: report of three cases


Department of Gastroenterology II, Mohamed V Teaching Military Hospital, Rabat, Morocco

Correspondence Address:
Hassan Seddik
Department of Gastroenterology II, Mohamed V Teaching Military Hospital, Rabat
Morocco
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Source of Support: None, Conflict of Interest: None


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Caroli's disease is a rare congenital hepatobiliary disease characterized by multifocal segmental dilatation of intrahepatic bile ducts affecting all or parts of the liver. It predisposes to biliary stasis and consequent lithiasis, cholangitis, abscesses, and septicemia. Caroli's disease is most often diffuse and rarely localized to one lobe of the liver, mainly on the left. We report three cases of monolobar Caroli's disease revealed by cholestatic jaundice in 2 cases and recurrent cholangitis in 1 case. All patients were men with an average age of 41 years old. The average duration between first symptoms and diagnosis was 3 months. In all cases the diagnosis was suggested by radiology and confirmed by histology. Caroli's disease was located on the left liver lobe with the presence of intrahepatic lithiasis in 2 cases. The treatment was consisted to a left hepatectomy in 2 cases and a biliary-digestive anastomosis in 1 case. The evolution was favorable in two cases while the third case was lost.


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