Table of Contents
HPB Surgery
Volume 4, Issue 3, Pages 203-207
Review Article

Liver Atrophy Associated With Monolobar Caroli's Disease

Unit of Hepatobiliary and Pancreatic Surgery, Department of Surgery, St. John's Medical College Hospital, Bangalore 560 034, India

Received 22 January 1991; Accepted 30 January 1991

Copyright © 1991 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The association of the atrophy-hypertrophy complex in monolobar Caroli’s disease (Type I) is reported in a 30 year old male who presented with recurrent cholangitis. Ultrasound and CT scan showed localised, right sided, saccular biliary dilatation in a normal sized liver. Severe right lobar atrophy was detected at operation and the resected right lobe weighed only 140 gms. Distortion of the hilar vascular anatomy and posterior displacement of the right hepatic duct orifice were problems encountered at surgery.