A Case of Combined Congenital Hepatic Fibrosis and Biliary Hamartoma Presented with Recurrent Acute Cholangitis / 대한췌담도학회지
Korean Journal of Pancreas and Biliary Tract
;
: 105-110, 2015.
Article
in Korean
| WPRIM
| ID: wpr-164817
ABSTRACT
Biliary hamartoma and congenital hepatic fibrosis belong to fibrocystic disorders originating from ductal plate malformation. A 66-year-old man who had incidentally been diagnosed with biliary hamartoma two years ago presented to us with recurrent acute cholangitis. In the first episode, he had presented with septic shock and was treated with endoscopic retrograde cholangiopancreatography (ERCP) and cholecystectomy under the diagnosis of acute cholecystitis and cholangitis. However, during a two-month follow-up period, the patient experienced four episodes of acute cholangitis. Because he showed normal ERCP, and biliary hamartoma is usually asymptomatic, a liver biopsy was performed. Pathology revealed combined features of biliary hamartoma and congenital hepatic fibrosis, characterized as periportal fibrosis and intrahepatic ductular dysplasia. During follow-up for the last six months, he had experienced two episodes of acute cholangitis and was treated with antibiotics. A follow-up abdominal CT scan revealed aggravated hepatosplenomegaly compared to that of two years ago. We report a case of combined congenital hepatic fibrosis and biliary hamartoma and a literature review.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pathology
/
Shock, Septic
/
Biopsy
/
Fibrosis
/
Cholecystectomy
/
Tomography, X-Ray Computed
/
Cholangitis
/
Follow-Up Studies
/
Cholangiopancreatography, Endoscopic Retrograde
/
Cholecystitis, Acute
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Aged
/
Humans
Language:
Korean
Journal:
Korean Journal of Pancreas and Biliary Tract
Year:
2015
Type:
Article
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