Adhikari Lukash, Achhami Eliz, Bhattarai Nabin, Kandel Ashim, Shrestha Abhigan Babu
Patan Academy of Health Sciences, Lalitpur, Nepal.
Sukraraj Tropical & Infectious Disease Hospital, Kathmandu, Nepal.
Ann Med Surg (Lond). 2022 Sep 30;82:104788. doi: 10.1016/j.amsu.2022.104788. eCollection 2022 Oct.
Hepatolithiasis or intrahepatic calculi are common in South East Asia but are rare in Western nations. The primary symptom of the condition is recurrent pain in the upper abdomen. Stones in the cystic duct or common bile duct are also common findings. Recurrent pyogenic cholangitis is the most frequent complication. Radiological studies and percutaneous procedures are vital for diagnosing and managing this condition. The primary goal in treating the condition is to decrease the chance of developing cholangitis and to stop the progression of the disease, which may lead to biliary cirrhosis.
肝内胆管结石在东南亚地区较为常见，但在西方国家却很罕见。该病的主要症状是上腹部反复疼痛。胆囊管或胆总管结石也是常见的发现。复发性化脓性胆管炎是最常见的并发症。放射学检查和经皮操作对于诊断和管理这种疾病至关重要。治疗该病的主要目标是降低发生胆管炎的几率，并阻止疾病进展，因为疾病进展可能导致胆汁性肝硬化。
