Colangiocarcinoma associato a malattia di Caroli monolobare sinistra

Caroli’s disease is a cystic expansion of hepatic biliary duct ,frequently shown with not specific pain symptomatology to the right abdominal quadrant, icterus and recurrent cholangitis, these ones hardly controllable with antibiotics therapy only. Cholangio-RM is the most appropriate investigational methodical to diagnose the disease and to show the continuity of cystic expansion with biliary three. Authors report a cases of Caroli’s associated to cholangiocarcinoma. When the disease is banished to one hepatic lobe only, the surgery resection is the most indicated election’s therapy to solve an eventual intrahepatic biliary lithiasis, potentials cholangitis, and the possible neoplastic risk. In the event of spreaded disease, the treatment includes endoscopic treatment, pharmacologic therapy and, at last, hepatic transplant.