An Incidental Discovery of Caroli’s Disease in an 86-Year-Old Presenting with Cholangitis

An 86-year-old woman developed cholangitis post-femoral nail for a left pertrochanteric fracture and was found to have multilobulated intrahepatic bile ducts and hepatic cysts communicating with intrahepatic ducts, along with polycystic kidneys on abdominal imaging consistent with Caroli’s disease. Caroli’s disease is extremely rare and presentations in the elderly population are exceedingly uncommon. Treatment is usually supportive, with biliary drainage utilised in the first instance for management of cholangitis along with antibiotic therapy. Surgical resection and liver transplantation are utilised in those with end-stage liver disease.