PMC5109570_01
(a) Magnetic resonance imaging (MRI) indicated multiple large renal cysts consistent with ADPKD and multiple hepatic cysts located mainly in peribiliary regions. (b) MRI revealed cystic dilatation of the intrahepatic bile ducts in the left lobe and peribiliary cysts.
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Magnetic resonance imaging (MRI) indicated multiple large renal cysts consistent with ADPKD and multiple hepatic cysts located mainly in peribiliary regions (Fig. 1a). MRI, such as an increased intensity on diffusion-weighted imaging, niveau, wall thickening, or gas in the cysts, which we previously reported to be typical findings of infected cysts. MRI revealed a common bile duct stone and cystic dilatation of the intrahepatic bile ducts in the left lobe (Fig. 1b).
Contrast-enhanced abdominal CT showed the central dot sign (circle), representing the fibrovascular bundle (arrow) within the dilated cystic intrahepatic ducts, which is considered to be a characteristic feature of Caroli's disease.
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Contrast-enhanced abdominal computed tomography (CT) showed the central dot sign representing the fibrovascular bundle within the dilated cystic intrahepatic ducts (Fig. 2), which was considered to be characteristic feature of Caroli's disease.
Endoscopic retrograde cholangiography (ERC) demonstrated cystic dilated biliary ducts with stones.
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Endoscopic retrograde cholangiography (ERC) also demonstrated cystic dilated biliary ducts with stones (Fig. 3).
Clinical course of the present case.
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Sepsis was controlled with intravenous meropenem, however, the fever recurred when the treatment was changed to oral antibiotics, as shown in Fig. 4.