Large Gallstones Stacked Together in the Common Bile Duct after Choledochojejunostomy

A 65-year-old man had a history of cholecystectomy and treatment for cholelithiasis with a common bile duct incision. Owing to frequent cholangitis, he underwent choledochojejunostomy. Twenty years after the surgery, he was hospitalized for cholangitis and was suspected of having hilar cholangiocarc...

Descripción completa

Detalles Bibliográficos
Autores principales: Sakamoto, Yuri, Takeda, Yohei, Kawahara, Shiho, Shimosaka, Takuya, Hamamoto, Wataru, Koda, Hiroki, Yamashita, Taro, Onoyama, Takumi, Matsumoto, Kazuya, Isomoto, Hajime
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9492497/
https://www.ncbi.nlm.nih.gov/pubmed/35185053
http://dx.doi.org/10.2169/internalmedicine.8956-21
Descripción
Sumario:A 65-year-old man had a history of cholecystectomy and treatment for cholelithiasis with a common bile duct incision. Owing to frequent cholangitis, he underwent choledochojejunostomy. Twenty years after the surgery, he was hospitalized for cholangitis and was suspected of having hilar cholangiocarcinoma based on imaging findings. Percutaneous transhepatic cholangioscopy using a SpyGlass™ DS (Boston Scientific, Marlborough, USA) showed gallstones and bile sludge in the bile ducts, but no tumors were noted. Electrohydraulic shockwave lithotripsy with double-balloon enteroscopy enabled complete stone removal; a direct visual biopsy with peroral cholangioscopy showed no malignancy in the bile duct.

Ejemplares similares