Isolated intrahepatic biliary dilatation in a patient with acquired immune deficiency syndrome (AIDS)

AIDS cholangiopathy versus incidental unilobar Caroli's disease

K. S. Kumar, S. Nair, Hilary I. Hertan, H. Grover

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

We describe a case of possible monolobar Caroli's disease in a patient with acquired immune deficiency syndrome (AIDS) who presented with features of cholangitis. Diagnostic workup, which included endoscopic retrograde cholangiography, revealed focal intrahepatic biliary dilatation confined to the right lobe. The patient subsequently underwent right hepatic lobectomy. Pathology revealed multiple cysts filled with calculi and inflammation in the cyst walls. Special stain results for fungi and acid-fast organisms were negative. The presence of advanced AIDS in this patient raised the possibility of this being a possible manifestation of AIDS cholangiopathy.

Original languageEnglish (US)
Pages (from-to)79-81
Number of pages3
JournalJournal of Clinical Gastroenterology
Volume32
Issue number1
DOIs
StatePublished - 2001
Externally publishedYes

Fingerprint

Caroli Disease
Dilatation
Acquired Immunodeficiency Syndrome
Cysts
Cholangitis
Cholangiography
Calculi
Fungi
Coloring Agents
Pathology
Inflammation
Acids
Liver

Keywords

  • AIDS cholangiopathy
  • Caroli's disease

ASJC Scopus subject areas

  • Gastroenterology

Cite this

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AU - Grover, H.

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AB - We describe a case of possible monolobar Caroli's disease in a patient with acquired immune deficiency syndrome (AIDS) who presented with features of cholangitis. Diagnostic workup, which included endoscopic retrograde cholangiography, revealed focal intrahepatic biliary dilatation confined to the right lobe. The patient subsequently underwent right hepatic lobectomy. Pathology revealed multiple cysts filled with calculi and inflammation in the cyst walls. Special stain results for fungi and acid-fast organisms were negative. The presence of advanced AIDS in this patient raised the possibility of this being a possible manifestation of AIDS cholangiopathy.

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