A CASE GF CARGLI'S DISEASE REVEALING VARIGUS ENDGSCGPIC IMAGES UNDER PERCUTANEOUS TRANSHEPATIC CHOLANGIOSCOPY (PTCS)

Abstract

A 61-year-old man, with chronic renal failure due to polycystic kidney having receivedaregular treatment as outpatient at the department of nephrology in our hospital wasadmitted with a suspicion of multiple liver tumors on abdominal ultrasonography. ERCrevealed a filling defect in a gross cystic-dilated intrahepatic bile duct. PTCD and PTCSwere performed in order to get further information of this lesion. PTCS showed many funicular structures, a large amount of dark green alga-like stuff, and cystic lesions withvarious endoscopic images in the lumen of dilated bile duct. From these findings and theresult of liver biopsy specimen, we eventually diagnosed as Caroli's disease with liverfibrosis.