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...

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Main Authors: Mustafa Natout, MD, Madiha M. Hijazi, MD, Mutaz Kassas, MD, Samir Mallat, MD, Mohamad Haidar, MD
Format: Article
Language:English
Published: Elsevier 2023-05-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043323001139
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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.
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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
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