Binh Nguyen Thai, Dung Le Viet, My Thieu-Thi Tra, Duc Nguyen Minh
Department of Radiology, Ha Noi Medical University Hospital, Ha Noi, Viet Nam.
Department of Radiology, Ha Noi Medical University, Ha Noi, Viet Nam.
J Clin Imaging Sci. 2021 Oct 27;11:55. doi: 10.25259/JCIS_179_2021. eCollection 2021.
This case report describes a young female patient with a history of surgery to treat choledochal cyst since childhood who was admitted to our hospital with cholangitis. An imaging examination revealed giant stones that almost completely filled the intrahepatic biliary tract. The patient underwent percutaneous transhepatic lithotripsy using a holmium laser. After the lithotripsy, cholangiography showed no residual stones. The patient displayed clinical improvement and was discharged after 14 days in the hospital. This case serves as a reminder of gallstone complications that can occur subsequent to choledochal cyst surgery with biliary-enteric anastomosis and emphasizes many outstanding advantages of percutaneous transhepatic lithotripsy compared with classical surgery.
本病例报告描述了一名自幼接受手术治疗胆总管囊肿的年轻女性患者，因胆管炎入院。影像学检查发现巨大结石几乎完全填满肝内胆管。患者接受了钬激光经皮肝穿刺碎石术。碎石术后，胆管造影显示无残留结石。患者临床症状改善，住院14天后出院。该病例提醒人们，胆总管囊肿手术行胆肠吻合术后可能发生胆结石并发症，并强调了经皮肝穿刺碎石术与传统手术相比的许多突出优势。
