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- W4233209096 abstract "Background: Hepatolithiasis (HL) is defined as gallstones present in all bile ducts peripheral to the confluence of the right and left hepatic ducts, irrespective of the coexistence of gallstones in other parts of the biliary tract. HL is frequently found in patients with recurrent pyogenic cholangitis. Methods: Case presentation. Results: A 65-year-old woman presented with intermittent fever, jaundice, abdominal pain, and nausea. Eighteen years ago she underwent open cholecystectomy for acute cholecystitis. In the first post-operative days she was noted to be icteric. Abdominal ultrasound showed intrahepatic biliary ductal dilatation. Re-operation was indicated due to suspicion of iatrogenic common bile duct injury, which was confirmed intra-operatively at time of surgical re-exploration. Hepatico-jejunostomy (HJ) “non-Roux-en-Y” was performed. Despite this surgical biliary bypass, this patient continued to have recurrent bouts of cholangitis over the ensuing eighteen years. Given the patient’s recurrent symptoms and results of MRI consistent with HL, surgical treatment was indicated. A left hepatectomy was performed with Roux-en-Y HJ biliary reconstruction. Post-operative course was uneventful. Patient is symptoms free without any attack of cholangitis. Conclusion: The primary goal in treating HL is to eradicate existing infection, recurrent cholangitis and subsequent hepatic fibrosis, prevent progression of the disease to cholangiocarcinoma. Hepatectomy and/or Roux-en-Y HJ is the best choice for treatment of HL." @default.
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- W4233209096 date "2019-01-01" @default.
- W4233209096 modified "2023-10-06" @default.
- W4233209096 title "Hepatolithiasis following “non-Roux-en-Y” hepatico-jejunostomy for common bile duct injury" @default.
- W4233209096 doi "https://doi.org/10.1016/j.hpb.2019.10.721" @default.
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