Report of a case with primary intrahepatic bile duct stones of calcium carbonate
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概要
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We reported a 50-year-old female with jaundice and positive shadows in the upper abdominal cavity on a plain X-ray film. The patient had been free of symptoms excluding this episode of jaundice. The stones were impacted in the common hepatic duct and in the intrahepatic bile ducts of the lateral, the medial and the posterior segment. Although any narrow segment of the bile duct was not demonstrated, the common bile duct showed normal calibre and the bile duct proximal to the common hepatic ducts did cystic dilatation. Left hepatic lobectomy and resection of the extrahepatic bile duct was performed, Ultrared analysis of the stones showed that main component parts were calcium carbonate with slight amount of bile pigment. From her clinical course and the characteristics of the stones, it was implies that she had congenital dilatation of the intrahepatic bile duct with intrahepatic cholestasis.
- Japan Biliary Associationの論文
Japan Biliary Association | 論文
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