A Case of Primary Pure Cholesterol Hepatolithiasis / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
;
: 448-453, 2003.
Article
in Korean
| WPRIM
| ID: wpr-120634
ABSTRACT
In the past, most hepatolithiasis had been brown pigment stones in Korea. However, stones with high cholesterol content are found with increasing frequency. Abdominal ultrasonography is superior to CT for detection of cholesterol hepatolithiasis. The characteristic gross morphology of pure cholesterol hepatolithiasis shown by cholangioscopy is diagnostic. An effective medical management consists of stone removal by percutaneous transhepatic cholangioscopy and ursodeoxycholic acid for the prevention of recurrence. We here report a case of primary pure cholesterol hepatolithiasis with a review of the literature. A 29-year-old woman presented with right upper quadrant pain. Abdominal ultrasonography showed right intrahepatic duct stones. A cholangioscopy revealed typical cholesterol stones, mucosal hyperemia, and mild narrowing in stone-bearing intrahepatic duct. Cholangioscopic stone removal via the percutaneous transhepatic route was successfully performed. To prevent recurrence, ursodeoxycholic acid was administered.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Ursodeoxycholic Acid
/
Cholesterol
/
Ultrasonography
/
Hyperemia
/
Korea
Type of study:
Diagnostic study
Limits:
Adult
/
Female
/
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Korean Journal of Gastrointestinal Endoscopy
Year:
2003
Type:
Article
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