Korean Journal of Gastrointestinal Endoscopy 2006;32(1): 71-74.
대장암 및 다낭종신과 동반된 Caroli병 1예
채영제·최철영·김종엽·신현원·김영순·최민호·장현주·은창수·계세협·이진
한림대학교 의과대학 내과학교실
Caroli's Disease Combined with Colon Cancer and Polycystic Kidney Disease
Yeong Je Chae, M.D., Cheul Young Choi, M.D., Jong Yeop Kim, M.D., Hyun Weon Shin, M.D., Young Sun Kim, M.D., Min Ho Choi, M.D., Hyun Joo Jang, M.D., Chang Soo Eun, M.D., Sea Hyub Kae, M.D. and Jin Lee, M.D.
Department of Internal Medicine, Hangang Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea
Abstract
Caroli's disease is defined as a communication between congenital cystic dilatation of the bile duct and the biliary system. Caroli's disease accompanied with autosomal dominant polycystic kidney disease is a very rare finding and the differential diagnosis between Caroli's disease with polycystic kidney disease and a polycystic liver is very important. A 67-year-old male patient was admitted to our hospital for hematochezia, and he underwent hemodialysis for chronic renal failure due to his autosomal dominant polycystic kidney disease. On colonoscopy, ulcero-infiltrative tumor was observed in the sigmoid colon. It was diagnosed as adenocarcinoma on tissue biopsy. On abdominal computerized tomography and magnetic resonance cholangiopancreatography, a number of simple cysts was observed in both kidneys and we were able to identify the communication between the dilated intrahepatic ducts and the intrahepatic cystic lesions, and so we diagnosed this patient as having Caroli's disease. (Korean J Gastrointest Endosc 2006;32:7174)
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