Advertisement
Original article| Volume 16, ISSUE 4, P234-238, October 1992

Hepatic arterial color doppler signals in Caroli's disease

DOI:https://doi.org/10.1016/0899-7071(92)90003-R
Hepatic arterial color doppler signals in Caroli's disease
Previous ArticleQuantitative scintigraphy of the sacroiliac joints
Next ArticleRetroperitoneal castleman's tumors of hyaline vascular type: Imaging study case report
      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      Three siblings with congenital dilatation of the intrahepatic bile ducts (Caroli's disease) are presented. Bile duct pathology was associated with congenital hepatic fibrosis and polycystic renal disease in all three patients. On color Doppler imaging (CD imaging), multiple small color Doppler signals were observed in the vascular radicles within the dilated bile ducts or in the center of the lumen apart from the vascular radicles, as well as in other well-known sonographic findings such as bile duct dilatations and bilary calculi. Doppler frequency spectral analysis confirmed all these color signals as arterial in origin in all patients, revealing pulsatile wave patterns. In spite of the fact that portal venous radicles have been well described on conventional sonograms or computed tomography (CT), continuous wave patterns of venous flow on spectral analysis were not detected in all patients. Identification of such less emphasized arterial flow may add another clue in the diagnosis and pathogenesis of this rare disease entity. In conclusion, color Doppler signals of arterial wave pattern within the dilated bile ducts are another helpful diagnostic criteria in previously reported sonographic findings, and these color signals are easily depicted on sonograms with color mapping.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Register: Create an account
      Institutional Access: Sign in to ScienceDirect

      References

        • Caroli J.
        • Soupault R.
        • Kossakowski J.
        • Plocker L.
        • Paradowska M.
        La dilatation polykystique congenitale des voies biliaires intra-hepatiques: essai de classification.
        Semin Hop Paris. 1958; 34: 128-135
        • Nakanuma Y.
        • Terada T.
        • Ohta G.
        • Kurachi M.
        • Matsubara F.
        Caroli's disease in congenital hepatic fibrosis and infantile polycystic disease.
        Liver. 1982; 2: 346-354
        • Jorgensen M.J.
        Three-dimensional reconstruction of intrahepatic bile ducts in a case of polycystic disease of the liver in an infant.
        Acta Pathol Microbiol Immunol Scand (A). 1972; 80: 201-206
        • Jorgensen M.J.
        A stereological study of intrahepatic bile ducts in congenital hepatic fibrosis.
        Acta Pathol Microbiol Immunol Scand (A). 1974; 82: 21-29
        • Caroli J.
        Disease of the intrahepatic biliary tree.
        Clin Gastroenterol. 1973; 2: 147-161
        • Höglund M.
        • Muren C.
        • Schmidt D.
        Caroli's disease in two sisters. Diagnosis by ultrasonography and computed tomography.
        Acta Radiologica. 1989; 30: 459-462
        • Mall J.C.
        • Ghahremani G.G.
        • Boyer J.B.
        Caroli's disease associated with congenital hepatic fibrosis and renal tubular ectasia.
        Gastroenterology. 1974; 66: 1029-1035
        • Mujahed Z.
        • Glenn F.
        • Evans J.A.
        Communicating cavernous ectasia of the intrahepatic ducts (Caroli's disease).
        AJR. 1971; 113: 21-26
        • Lucaya J.
        • Gomez J.L.
        • Molino C.
        • Atienza J.G.
        Congenital dilatation of the intrahepatic bile ducts (Caroli's disease).
        Radiology. 1978; 127: 746-778
        • Marchal G.J.
        • Desmet V.J.
        • Proesmans W.C.
        • et al.
        Caroli disease: high-frequency US and pathologic findings.
        Radiology. 1986; 158: 507-511
        • Takaki Y.
        • Takahashi M.
        • Ueno S.
        • Fukui K.
        Radiologic demonstration of Caroli's disease: a case report.
        J Comput Tomogr. 1986; 10: 153-156
        • Mittelstaedt C.A.
        • Volberg F.M.
        • Fischer G.J.
        • McCartney W.H.
        Caroli's disease: sonographic findings.
        AJR. 1980; 134: 585-587
        • Bass E.M.
        • Funston M.R.
        • Shaff M.I.
        Caroli's disease: an ultrasonic diagnosis.
        Br J Radiol. 1977; 50: 366-369
        • Choi B.I.
        • Yeon K.M.
        • Kim S.H.
        • Han M.C.
        Caroli disease: central dot sign in CT.
        Radiology. 1990; 174: 161-163
        • Hopper K.D.
        The role of computed tomography in the evaluation of Caroli's disease.
        Clin Imaging. 1989; 13: 68-73
        • Kaiser J.A.
        • Mall J.C.
        • Salmen B.J.
        • Parker J.J.
        Diagnosis of Caroli disease by computed tomography: report of two cases.
        Radiology. 1979; 132: 661-664
        • Musante F.
        • Derchi L.E.
        • Bonati P.
        CT cholangiography in suspected Caroli's disease.
        J Comput Assist Tomogr. 1982; 6: 482-485

      Article info

      Identification

      DOI: https://doi.org/10.1016/0899-7071(92)90003-R

      Copyright

      © 1992 Published by Elsevier Inc.

      ScienceDirect

      Access this article on ScienceDirect
      We use cookies to help provide and enhance our service and tailor content. To update your cookie settings, please visit the for this site.
      Copyright © 2023 Elsevier Inc. except certain content provided by third parties. The content on this site is intended for healthcare professionals.


      RELX