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Journal of Medical Ultrasonics

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1984 - Vol.11

Vol.11 No.03

Case Report(症例報告)

(0177 - 0181)


Ultrasonographic Finding of Caroli's Disease: Three Cases in Siblings

冨田 周介1, 赤阪 隆史1, 高鍬 博1, 平佐 昌弘1, 伊吹 康良1, 工藤 正俊1, 新垣 光彌1, 藤堂 彰男1, 藤本 敏明2, 久米 正紀3, 細川 友舶3, 水間 和郎3

Shusuke TOMITA1, Takashi AKASAKA1, Hiroshi TAKAKUWA1, Akihiro HIRASA1, Yasuyoshi IBUKI1, Masanori KUBO1, Mitsuya SHINGAKI1, Akio TODO1, Toshiaki FUJIMOTO2, Masanori KIME3, Tomohiro HOSOKAWA3, Kazuo MIZUMA3

1神戸市立中央市民病院内科, 2神戸市立中央市民病院中央検査室, 3水間医院

1Department of Internal Medicine, Kobe Central Municipal Hospital, 2Central Laboratory, Kobe Central Municipal Hospital, 3Mizuma Clinic

キーワード : ultrasonography, Caroli's disease

Three patients with Caroli's disease in siblings were presented. Caroli's disease was suspected by ultrasound, and then confirmed by hepato-biliary scintigrams (ggm TC-PI). With ultrasound, multiple spindle-shaped cystic lesions with folds were found in the liver of all three patients. In two, a tubular structure (the intrahepatic bile duct) communicating with every cystic lesions was recognized. In one patient, a stone within the cystic lesion was visualized. Furthermore, in two cases, medullary cysts of the kidney were shown. Hepato-biliary scientigrams demonstrated multiple dilatations of the intrahepatic bile duct at excretory phase in all.
We conclude that ultrasonography can diagnose Caroli's disease by the shape of the cystic lesions and the communication between the cysts and the bile ducts. If necessary, it is confirmed by hepato-biliary scintigram.