Large Gallstones Stacked Together in the Common Bile Duct after Choledochojejunostomy: A Case Report

A 65-year-old man had a history of cholecystectomy and treatment for cholelithiasis with a common bile duct incision. Owing to frequent cholangitis, he underwent choledochojejunostomy. Twenty years after the surgery, he was hospitalized for cholangitis and was suspected of having hilar cholangiocarc...

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Bibliographic Details
Published in:Internal Medicine 2022, pp.8956-21
Main Authors: Sakamoto, Yuri, Takeda, Yohei, Kawahara, Shiho, Shimosaka, Takuya, Hamamoto, Wataru, Koda, Hiroki, Yamashita, Taro, Onoyama, Takumi, Matsumoto, Kazuya, Isomoto, Hajime
Format: Article
Language:English
Subjects:
choledochojejunostomy
choledocholithiasis
double-balloon enteroscopy
electrohydraulic shockwave lithotripsy
endoscopic retrograde cholangiopancreatography
gallstones
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Summary:A 65-year-old man had a history of cholecystectomy and treatment for cholelithiasis with a common bile duct incision. Owing to frequent cholangitis, he underwent choledochojejunostomy. Twenty years after the surgery, he was hospitalized for cholangitis and was suspected of having hilar cholangiocarcinoma based on imaging findings. Percutaneous transhepatic cholangioscopy using a SpyGlass™ DS (Boston Scientific Corporation, Marlborough, MA, USA) showed gallstones and bile sludge in the bile ducts, but no tumors were noted. Electrohydraulic shockwave lithotripsy with double-balloon enteroscopy enabled complete stone removal; a direct visual biopsy with peroral cholangioscopy showed no malignancy in the bile duct.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.8956-21