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...

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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
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author Sakamoto, Yuri
Takeda, Yohei
Kawahara, Shiho
Shimosaka, Takuya
Hamamoto, Wataru
Koda, Hiroki
Yamashita, Taro
Onoyama, Takumi
Matsumoto, Kazuya
Isomoto, Hajime
author_facet Sakamoto, Yuri
Takeda, Yohei
Kawahara, Shiho
Shimosaka, Takuya
Hamamoto, Wataru
Koda, Hiroki
Yamashita, Taro
Onoyama, Takumi
Matsumoto, Kazuya
Isomoto, Hajime
author_sort Sakamoto, Yuri
collection PubMed
description 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.
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spelling pubmed-94924972022-10-04 Large Gallstones Stacked Together in the Common Bile Duct after Choledochojejunostomy Sakamoto, Yuri Takeda, Yohei Kawahara, Shiho Shimosaka, Takuya Hamamoto, Wataru Koda, Hiroki Yamashita, Taro Onoyama, Takumi Matsumoto, Kazuya Isomoto, Hajime Intern Med Case Report 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. The Japanese Society of Internal Medicine 2022-02-19 2022-09-01 /pmc/articles/PMC9492497/ /pubmed/35185053 http://dx.doi.org/10.2169/internalmedicine.8956-21 Text en Copyright © 2022 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Sakamoto, Yuri
Takeda, Yohei
Kawahara, Shiho
Shimosaka, Takuya
Hamamoto, Wataru
Koda, Hiroki
Yamashita, Taro
Onoyama, Takumi
Matsumoto, Kazuya
Isomoto, Hajime
Large Gallstones Stacked Together in the Common Bile Duct after Choledochojejunostomy
title Large Gallstones Stacked Together in the Common Bile Duct after Choledochojejunostomy
title_full Large Gallstones Stacked Together in the Common Bile Duct after Choledochojejunostomy
title_fullStr Large Gallstones Stacked Together in the Common Bile Duct after Choledochojejunostomy
title_full_unstemmed Large Gallstones Stacked Together in the Common Bile Duct after Choledochojejunostomy
title_short Large Gallstones Stacked Together in the Common Bile Duct after Choledochojejunostomy
title_sort large gallstones stacked together in the common bile duct after choledochojejunostomy
topic Case Report
url 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
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