Related Experiment Video
Updated: Aug 8, 2026
04:41
Laparoscopic Left Liver Sectoriectomy of Caroli's Disease Limited to Segment II and III
Published on: February 27, 2009
[A case of monolobar Caroli's disease]
Isamu Makino1, Takashi Tani, Koichi Shimizu
1Department of Gastroenterological Surgery, Graduate School of Medicine, Kanazawa University.
Summary
A rare case of monolobar Caroli's disease, a liver condition, was found in a 45-year-old man. This cystic liver lesion was successfully removed through partial hepatectomy.
Area of Science:
- Hepatobiliary Surgery
- Gastroenterology
- Medical Imaging
Background:
- Caroli's disease is a rare congenital disorder characterized by dilatation of the intrahepatic bile ducts.
- Early diagnosis and treatment are crucial for managing complications and improving patient outcomes.
- Routine medical check-ups can facilitate the early detection of asymptomatic liver lesions.
Observation:
- A 45-year-old man presented with an incidentally discovered 35mm multilocular cystic lesion in the right lobe of the liver during routine ultrasonography.
- Differential diagnoses included biliary cystadenoma, echinococcosis, and degenerated hemangioma.
- The lesion was confined to a single lobe, presenting as a rare monolobar variant.
Findings:
- Pathological examination confirmed the diagnosis of pure type monolobar Caroli's disease.
- The patient underwent a curative partial hepatectomy for the localized lesion.
- Surgical resection proved effective for this rare presentation of Caroli's disease.
Implications:
- This case highlights the importance of considering rare liver pathologies even in asymptomatic individuals.
- Monolobar Caroli's disease, when localized, is amenable to curative surgical resection.
- Early detection and surgical intervention can lead to favorable outcomes in Caroli's disease.
Related Concept Videos
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
01:29Cardiomyopathy IV: Restrictive Cardiomyopathy
Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...
01:29Cardiomyopathy III: Hypertrophic Cardiomyopathy
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
01:30Coronary Artery Disease III: Clinical Manifestations
Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
01:26Coronary Artery Disease II: Pathophysiology
Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
01:30Peripheral Artery Disease I: Introduction
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...