Byun B H, Lee S W, Bae S H, Choi J Y, Kim D G, Byun J Y, Park Y M, Park D H, Kim B S
Department of Internal Medicine, Kangnam St. Mary's Hospital, The Catholic University of Korea, College of Medicine, Seoul.
J Korean Med Sci. 1999 Feb;14(1):97-101. doi: 10.3346/jkms.1999.14.1.97.
Biliary complications after orthotopic liver transplants are a continuing cause of morbidity and mortality. Biliary stones and sludge are less well known complications of hepatic transplantation, although they have long been recognized. Recently we experienced two cases of biliary stones developed after liver transplantation. One 32-year-old male, who frequently admitted due to recurrent cholangitis, was treated with percutaneous transhepatic biliary drainage and choledochojejunostomy with cholecystectomy. The other 58-year-old male, who had stones in commone bile duct, was treated by endoscopic manipulation. They are in good condition without recurrent bile duct stones or its accompanying complications. Although stones and sludge are relatively infrequent after liver transplantation, surgical or interventional radiologic treatments are usually performed for treatment.
原位肝移植术后的胆道并发症仍是发病和死亡的持续原因。胆石症和胆泥是肝移植中鲜为人知的并发症，尽管它们早已被认识到。最近我们遇到了两例肝移植术后发生胆石症的病例。一名32岁男性，因复发性胆管炎频繁入院，接受了经皮经肝胆道引流、胆总管空肠吻合术及胆囊切除术治疗。另一名58岁男性，胆总管有结石，接受了内镜治疗。他们情况良好，无胆管结石复发或其伴随并发症。尽管肝移植术后结石和胆泥相对少见，但通常采用手术或介入放射学治疗。
