Findings of cholangitis in a kidney transplant patient with Caroli disease on FDG PET/CT and MRI
Caroli disease is a rare congenital disorder of segmental cystic dilatations of the intrahepatic biliary ducts that maintain communication with the rest of the biliary tree. Its typical clinical presentation is recurrent episodes of cholangitis. The diagnosis is usually made using abdominal imaging...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2023-05-01
|
Series: | Radiology Case Reports |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323001139 |
_version_ | 1797854564903288832 |
---|---|
author | Mustafa Natout, MD Madiha M. Hijazi, MD Mutaz Kassas, MD Samir Mallat, MD Mohamad Haidar, MD |
author_facet | Mustafa Natout, MD Madiha M. Hijazi, MD Mutaz Kassas, MD Samir Mallat, MD Mohamad Haidar, MD |
author_sort | Mustafa Natout, MD |
collection | DOAJ |
description | Caroli disease is a rare congenital disorder of segmental cystic dilatations of the intrahepatic biliary ducts that maintain communication with the rest of the biliary tree. Its typical clinical presentation is recurrent episodes of cholangitis. The diagnosis is usually made using abdominal imaging modalities. We present a patient with Caroli disease showing atypical presentation of acute cholangitis with ambiguous labs and initial negative imaging findings, which was later diagnosed by [18F]-fluorodeoxyglucose positron emission tomography/computed tomography and confirmed by magnetic resonance imaging and tissue pathology. The use of such imaging modalities in moments of doubt or clinical suspicion provide the patient with accurate diagnosis, proper management, and better clinical outcome, thus obviating the need for further invasive investigations. |
first_indexed | 2024-04-09T20:09:13Z |
format | Article |
id | doaj.art-e4085d7eb3ff46afb52b39e3b118bbe0 |
institution | Directory Open Access Journal |
issn | 1930-0433 |
language | English |
last_indexed | 2024-04-09T20:09:13Z |
publishDate | 2023-05-01 |
publisher | Elsevier |
record_format | Article |
series | Radiology Case Reports |
spelling | doaj.art-e4085d7eb3ff46afb52b39e3b118bbe02023-04-01T08:46:18ZengElsevierRadiology Case Reports1930-04332023-05-0118517001704Findings of cholangitis in a kidney transplant patient with Caroli disease on FDG PET/CT and MRIMustafa Natout, MD0Madiha M. Hijazi, MD1Mutaz Kassas, MD2Samir Mallat, MD3Mohamad Haidar, MD4Department of Diagnostic Radiology, American University of Beirut Medical Center, 11-0236, Riad ElSolh 1107 2020, Beirut, LebanonDepartment of Diagnostic Radiology, American University of Beirut Medical Center, 11-0236, Riad ElSolh 1107 2020, Beirut, LebanonDepartment of Diagnostic Radiology, American University of Beirut Medical Center, 11-0236, Riad ElSolh 1107 2020, Beirut, LebanonDivision of Nephrology, Department of Internal Medicine, American University of Beirut, Beirut 1107, LebanonDepartment of Diagnostic Radiology, American University of Beirut Medical Center, 11-0236, Riad ElSolh 1107 2020, Beirut, Lebanon; Corresponding author.Caroli disease is a rare congenital disorder of segmental cystic dilatations of the intrahepatic biliary ducts that maintain communication with the rest of the biliary tree. Its typical clinical presentation is recurrent episodes of cholangitis. The diagnosis is usually made using abdominal imaging modalities. We present a patient with Caroli disease showing atypical presentation of acute cholangitis with ambiguous labs and initial negative imaging findings, which was later diagnosed by [18F]-fluorodeoxyglucose positron emission tomography/computed tomography and confirmed by magnetic resonance imaging and tissue pathology. The use of such imaging modalities in moments of doubt or clinical suspicion provide the patient with accurate diagnosis, proper management, and better clinical outcome, thus obviating the need for further invasive investigations.http://www.sciencedirect.com/science/article/pii/S1930043323001139Caroli diseaseCholangitisFDG PET/CTMRIOrgan transplantImmunosuppression |
spellingShingle | Mustafa Natout, MD Madiha M. Hijazi, MD Mutaz Kassas, MD Samir Mallat, MD Mohamad Haidar, MD Findings of cholangitis in a kidney transplant patient with Caroli disease on FDG PET/CT and MRI Radiology Case Reports Caroli disease Cholangitis FDG PET/CT MRI Organ transplant Immunosuppression |
title | Findings of cholangitis in a kidney transplant patient with Caroli disease on FDG PET/CT and MRI |
title_full | Findings of cholangitis in a kidney transplant patient with Caroli disease on FDG PET/CT and MRI |
title_fullStr | Findings of cholangitis in a kidney transplant patient with Caroli disease on FDG PET/CT and MRI |
title_full_unstemmed | Findings of cholangitis in a kidney transplant patient with Caroli disease on FDG PET/CT and MRI |
title_short | Findings of cholangitis in a kidney transplant patient with Caroli disease on FDG PET/CT and MRI |
title_sort | findings of cholangitis in a kidney transplant patient with caroli disease on fdg pet ct and mri |
topic | Caroli disease Cholangitis FDG PET/CT MRI Organ transplant Immunosuppression |
url | http://www.sciencedirect.com/science/article/pii/S1930043323001139 |
work_keys_str_mv | AT mustafanatoutmd findingsofcholangitisinakidneytransplantpatientwithcarolidiseaseonfdgpetctandmri AT madihamhijazimd findingsofcholangitisinakidneytransplantpatientwithcarolidiseaseonfdgpetctandmri AT mutazkassasmd findingsofcholangitisinakidneytransplantpatientwithcarolidiseaseonfdgpetctandmri AT samirmallatmd findingsofcholangitisinakidneytransplantpatientwithcarolidiseaseonfdgpetctandmri AT mohamadhaidarmd findingsofcholangitisinakidneytransplantpatientwithcarolidiseaseonfdgpetctandmri |