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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Perm Medical Journal</journal-id><journal-title-group><journal-title xml:lang="en">Perm Medical Journal</journal-title><trans-title-group xml:lang="ru"><trans-title>Пермский медицинский журнал (сетевое издание "Perm medical journal")</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0136-1449</issn><issn publication-format="electronic">2687-1408</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">593904</article-id><article-id pub-id-type="doi">10.17816/pmj406128-134</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Clinical case</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Случай из практики</subject></subj-group><subj-group subj-group-type="article-type"><subject>Unknown</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Caroli's disease with multiple cholangiogenic abscesses of left liver lobe: a clinical case</article-title><trans-title-group xml:lang="ru"><trans-title>Болезнь Кароли с множественными холангиогенными абсцессами левой доли печени: клинический случай</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Styazhkina</surname><given-names>S.  N.</given-names></name><name xml:lang="ru"><surname>Стяжкина</surname><given-names>С. Н.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD, Professor, Department of Faculty Surgery</p></bio><bio xml:lang="ru"><p>доктор медицинских наук, профессор кафедры факультетской хирургии</p></bio><email>sstazkina064@gmail.com</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Zaitsev</surname><given-names>D.  V.</given-names></name><name xml:lang="ru"><surname>Зайцев</surname><given-names>Д. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Candidate of Medical Sciences, Head of the Department, surgeon of the highest qualification category</p></bio><bio xml:lang="ru"><p>заведующий отделением, врач-хирург высшей квалификационной категории, кандидат медицинских наук</p></bio><email>sstazkina064@gmail.com</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Klimentov</surname><given-names>M.   N.</given-names></name><name xml:lang="ru"><surname>Климентов</surname><given-names>М. Н.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Candidate of Medical Sciences, Associate Professor, Department of Faculty Surgery</p></bio><bio xml:lang="ru"><p>кандидат медицинских наук, доцент кафедры факультетской хирургии</p></bio><email>sstazkina064@gmail.com</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Larin</surname><given-names>V. V.</given-names></name><name xml:lang="ru"><surname>Ларин</surname><given-names>В. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Candidate of Medical Sciences, surgeon of the highest qualification category</p></bio><bio xml:lang="ru"><p>врач-хирург высшей квалификационной категории, кандидат медицинских наук</p></bio><email>sstazkina064@gmail.com</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Gasanova</surname><given-names>M. А.</given-names></name><name xml:lang="ru"><surname>Гасанова</surname><given-names>М. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>fifth-year student</p></bio><bio xml:lang="ru"><p>студентка V курса лечебного факультета</p></bio><email>sstazkina064@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Chakmina</surname><given-names>M. I.</given-names></name><name xml:lang="ru"><surname>Чакмина</surname><given-names>М. И.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>fifth-year student, Faculty of Medicine</p></bio><bio xml:lang="ru"><p>студентка V курса лечебного факультета</p></bio><email>sstazkina064@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Izhevsk State Medical Academy</institution></aff><aff><institution xml:lang="ru">Ижевская государственная медицинская академия</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">First Republican Clinical Hospital</institution></aff><aff><institution xml:lang="ru">Первая Республиканская клиническая больница</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2023-12-20" publication-format="electronic"><day>20</day><month>12</month><year>2023</year></pub-date><volume>40</volume><issue>6</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>128</fpage><lpage>134</lpage><history><date date-type="received" iso-8601-date="2023-09-21"><day>21</day><month>09</month><year>2023</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2023, Eco-Vector</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2023, Эко-Вектор</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="en">Eco-Vector</copyright-holder><copyright-holder xml:lang="ru">Эко-Вектор</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc-nd/4.0/</ali:license_ref></license></permissions><self-uri xlink:href="https://permmedjournal.ru/PMJ/article/view/593904">https://permmedjournal.ru/PMJ/article/view/593904</self-uri><abstract xml:lang="en"><p>To analyze the methods of diagnostics, treatment and outcomes of Caroli disease. The medical history, diagnostic methods and treatment of a patient with a clinical diagnosis of Caroli's disease were studied on the basis of the Surgical Department of the First Republican Clinical Hospital in Izhevsk. The results of the study showed that the final clinical diagnosis was made on the basis of the following: complaints, disease development, instrumental and laboratory diagnostic data. A timely surgical intervention, combined with all diagnostic methods, identified a rare and difficult clinical diagnosis – Caroli’s disease. In the presented clinical case, after collecting anamnesis and conducting studies, a diagnosis of a rare Caroli’s disease was made and a planned operation was performed. A regular monitoring of X-ray examinations, biochemical blood tests, and a timely medical care provide a favorable prognosis – long-term remission. In case of complications, there is a high risk for the development of biliary cirrhosis.</p></abstract><trans-abstract xml:lang="ru"><p>Проведен анализ методов диагностики, лечения и исходов болезни Кароли. Изучены история болезни, методы диагностики и лечение пациента, находящегося в хирургическом отделении с клиническим диагнозом болезни Кароли на базе Первой Республиканской клинической больницы г. Ижевска. Результаты исследования показали, что заключительный клинический диагноз был поставлен на основании: жалоб, развития заболевания, данных инструментальных и лабораторных диагностики. Своевременно выполненное оперативное вмешательство в совокупности со всеми методами диагностики определили редкий и трудный в постановке клинический диагноз – болезнь Кароли. При регулярном контроле рентгенологических исследований и биохимического анализа крови, вовремя оказанной медицинской помощь – прогноз благоприятный, длительная ремиссия. При осложнениях высока опасность развития билиарного цирроза.</p></trans-abstract><kwd-group xml:lang="en"><kwd>Caroli's disease</kwd><kwd>intrahepatic cholangiolithiasis</kwd><kwd>left hemihepatectomy</kwd><kwd>reconstructive plastic surgery of common hepatic duct on Kera frame drainage</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>болезнь Кароли</kwd><kwd>внутрипеченочный холангиолитиаз</kwd><kwd>левосторонняя гемигепатэктомия</kwd><kwd>реконструктивная пластика общего печеночного протока на каркасном дренаже Кера</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">Pavone P., Laghi A., Catalano C., Materia A., Basso N., Passariello R. Caroli's disease. Evaluation with MR cholangiopancreatography (MRCP). Abdom. Imaging. 1996; 21: 117–119.</mixed-citation><mixed-citation xml:lang="ru">Pavone P., Laghi A., Catalano C., Materia A., Basso N., Passariello R. 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