Sanabria J R, Clavien P A, Cywes R, Strasberg S M
Department of Surgery, Mount Sinai Hospital, University of Toronto, Ont.
Can J Surg. 1993 Jun;36(3):255-60.
The authors report a case of multiple intrahepatic cholesterol stones found in an asymptomatic patient who had undergone cholecystectomy 12 years before. Biochemical abnormalities and radiologic and pathologic findings are noted. The patient underwent liver resection with Roux-en-Y choledochojejunostomy and received ursodeoxycholic acid postoperatively. Recovery was uncomplicated, and the patient was well at 1-year follow-up. Intrahepatic cholesterol lithiasis is rare but can be diagnosed preoperatively. Treatment depends on the presence of complications and the distribution of the stones.
作者报告了一例在12年前接受过胆囊切除术的无症状患者中发现的多发性肝内胆固醇结石病例。记录了生化异常以及放射学和病理学检查结果。该患者接受了肝切除术及Roux-en-Y胆总管空肠吻合术，并在术后接受了熊去氧胆酸治疗。恢复过程顺利，患者在1年随访时情况良好。肝内胆固醇结石症较为罕见，但可在术前诊断。治疗取决于并发症的存在情况及结石的分布。
