Doença de Caroli tratada com derivação interna

A doenca de Caroli e uma molestia rara, de apresentacao clinica variavel, caracterizada por dilatacoes cisticas da arvore biliar. O escopo e relatar o caso de um paciente masculino, 80 anos, internado com ictericia, prurido, dor epigastrica e hepatomegalia. A propedeutica de imagem definiu o acometimento do lobo esquerdo do figado e da via biliar principal. Apos avaliacao multidisciplinar, diante das alteracoes clinicas e laboratoriais do paciente, foi optado pela realizacao de coledoco-jejuno e hepaticojejuno anastomose em Y de Roux. O pos-operatorio transcorreu com melhora clinica e laboratorial; o paciente permanece assintomatico apos seis meses de acompanhamento. O tratamento proposto pelos autores se mostrou eficiente e nao inviabiliza uma resseccao hepatica futura.(AU) Carolis desease is a rare illness, has a variable clinical presentation, characterized for expand cystic biliar tract. The goal is report a case of a man, 80 year old, admitted with jaundice, itch, epigastric pain and enlarged liver. Imaging findings showed dilatations in left hepatic lobe and principal biliar tree. After multidisciplinary evaluation, against clinical and laboratorial changes of the patient, have done coledocojejunal and hepaticojejunal anastomosis in Y and Roux. The postoperative course was uneventful and the patient has been six mounths without changes. The treatment proposed for authors were efficient and dont unfeasible a hepatic resection in the future. (AU)