Carmona R H, Crass R A, Lim R C, Trunkey D D
Am J Surg. 1984 Jul;148(1):117-24. doi: 10.1016/0002-9610(84)90298-8.
Oriental cholangitis is a poorly understood syndrome consisting of intrahepatic pigment stone formation with chronically recurrent exacerbations and remissions. Endemic to Asia, it is being encountered more frequently in the United States due to increased immigration of asians. Twenty-one patients with oriental cholangitis (9 men and 12 women), 19 to 84 years of age, all of whom immigrated from asian countries, were treated between 1970 and 1983. All had histories of episodic abdominal pain, most with jaundice, chills, and fever. Laboratory results were nonspecific but frequently included leukocytosis and hyperbilirubinemia. All patients were operated on with 15 having cholecystectomy, common duct exploration, and a bilioenteric anastomosis. E. coli was cultured from specimens obtained from the biliary tracts of all patients, and 13 patients had more than one organism. Four patients had a previous history of parasitic infection, and four different patients had parasites identified in the biliary tract intraoperatively. Early recognition and appropriate operation will decrease morbidity and mortality.
东方型胆管炎是一种了解甚少的综合征，其特征为肝内色素结石形成并伴有慢性反复加重和缓解。该疾病在亚洲为地方性疾病，由于亚洲移民增加，在美国的发病率也日益升高。1970年至1983年间，对21例东方型胆管炎患者（9名男性和12名女性，年龄在19至84岁之间，均来自亚洲国家）进行了治疗。所有患者均有发作性腹痛病史，多数伴有黄疸、寒战和发热。实验室检查结果无特异性，但常出现白细胞增多和高胆红素血症。所有患者均接受了手术，其中15例行胆囊切除术、胆总管探查术和胆肠吻合术。所有患者的胆道标本均培养出大肠杆菌，13例患者培养出不止一种微生物。4例患者既往有寄生虫感染史，另有4例患者在术中胆道发现寄生虫。早期识别和恰当手术可降低发病率和死亡率。
