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Gastroentérologie Clinique et Biologique
Vol 29, N° 8-9  - août 2005
pp. 870-874
Doi : GCB-8-9-2005-29-8-0399-8320-101019-200515051
Maladies fibro-kystiques congénitales du foie : aspects radiologiques
 
Figure 1

Figure a
Figure 1a.

Figure b
Figure 1b.

Figure 1. Malade de 56 ans atteinte d'un syndrome de Caroli. La CPIRM (séquence HASTE T2) met en évidence des dilatations kystiques des VBIH (figure 1a). Après injection de chélates de gadolinium, il existe un rehaussement central au sein de ces dilatations kystiques, confirmant le diagnostic de syndrome de Caroli (figure 1b).
Figure 1. 56-year-old female patient with Caroli's syndrome. Magnetic resonance cholangiography shows cystic dilatations of the intrahepatic bile ducts (fig. 1a). After injection of gadolinium chelates, note the central vascular enhancement within cystic dilatations (central dot sign), confirming the diagnosis of Caroli's syndrome (fig. 1b).
Figure 2

Figure 2. Découverte fortuite en échographie de dilatations segmentaires des VBIH du lobe gauche chez un homme de 55 ans. Tomodensitométrie hépatique après injection de produit de contraste, phase portale, confirmant la présence de dilatations des VBIH du lobe gauche. Le diagnostic de syndrome de Caroli segmentaire non compliquée est confirmé sur la pièce de lobectomie.
Figure 2. Chance discovery of segmental dilatations of the bile ducts of the left lobe of the liver in a 55-year-old male patient. After injection of contrast medium, computed tomography shows both cystic dilatations and the central dot sign. The diagnosis of Caroli's syndrome was confirmed by pathological examination of resected left lobe.
Figure 3

Figure 3. Malade de 46 ans suivie pour insuffisance rénale sur polykystose rénale. Mise en évidence en IRM, en coupe axiale en pondération T2, de multiples formations kystiques intra-hépatiques.
Figure 3. 46-year-old female patient with renal failure secondary to polycystic kidney disease. Transverse magnetic resonance T2weighed images show multiple cystic dilatations of the bile ducts.


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