case_images: PMC9386290_01
case_images: Ultrasonography showed multiple cysts in the liver (A). Blood flow can be seen in few cysts (B).
case_images: fped-10-903285-g001.jpg
case_images: PMC9386290_01_fped-10-903285-g001.jpg
case_images: F1
case_images: Emergency abdominal ultrasound showed multiple cysts in the liver and hepatosplenomegaly (Figure 1).
case_images: Computerized tomography (CT) shows (A,B) multiple hypoechoic lesions scattered in both lobes of liver. Few lesions show "central spot sign," which is more significant in enhanced image (B).
case_images: fped-10-903285-g002.jpg
case_images: PMC9386290_01_fped-10-903285-g002.jpg
case_images: F2
case_images: Then, an abdominal computerized tomography (CT) scan was performed and showed prominent dilation of the intrahepatic bile ducts (Figure 2).
case_images: Magnetic resonance cholangiopancreatography (MRCP) of Caroli's disease showed multiple cystic lesions of (A) low intensity on T1-weighted images, (B) high intensity on T2-weighted images and (C,D) connected with the biliary system.
case_images: fped-10-903285-g003.jpg
case_images: PMC9386290_01_fped-10-903285-g003.jpg
case_images: F3
case_images: To make sure of the diagnosis, a magnetic resonance cholangiopancreatography (MRCP) was performed, which revealed multifocal dilatation of the intrahepatic bile ducts associated with hepatomegaly (Figure 3).