Ultrasound images Dilated biliary tree and ascites
Figure (A,B,C,D)
Caroli’s disease. (A) Dilated biliary tree and ascites. (B) TS of a different patient with end-stage disease.
The grossly abnormal liver texture contrasts with the right kidney. (C) A small section of focal CBD dilatation persisted
in a symptomatic patient, with normal-calibre distal CBD. This was confirmed on ERCP and thought to be a dyskinetic
segment, causing biliary reflux, but was later diagnosed as a mild form of Caroli’s. (D) 3D CT reconstruction of the case
in (C), confirming the ultrasound appearances. Note the tiny ectatic ‘pouchings’ of the intrahepatic ducts characteristic
of Caroli’s.
The grossly abnormal liver texture contrasts with the right kidney. (C) A small section of focal CBD dilatation persisted
in a symptomatic patient, with normal-calibre distal CBD. This was confirmed on ERCP and thought to be a dyskinetic
segment, causing biliary reflux, but was later diagnosed as a mild form of Caroli’s. (D) 3D CT reconstruction of the case
in (C), confirming the ultrasound appearances. Note the tiny ectatic ‘pouchings’ of the intrahepatic ducts characteristic
of Caroli’s.
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