RESUMO
Presence of stones in the intrahepatic bile ducts is a common problem especially in East Asia. We report two cases: the first is a man who through several years had repeated episodes of obstructive jaundice. He underwent multiple procedures due to the recurrences. The second case is a woman who had recurrences and serious complications. A detailed evaluation and early diagnosis of each case are essential for a good treatment, which is challenging due to the high rate of recurrence and complications.
Assuntos
Doenças dos Ductos Biliares , Ductos Biliares Intra-Hepáticos , Litíase , Adulto , Idoso , Doenças dos Ductos Biliares/diagnóstico , Doenças dos Ductos Biliares/cirurgia , Feminino , Humanos , Litíase/diagnóstico , Litíase/cirurgia , MasculinoRESUMO
La presencia de cálculos en las vías biliares intrahepáticas, es una entidad que se presenta prevalentemente en países del sudeste asiático. A continuación presentamos dos casos encontrados en nuestro hospital simultáneamente. El primero corresponde a un hombre de 67 años de edad, cuya historia nos revela, a lo largo de varios años, una serie de cuadros ictericia obstructiva, siendo intervenido en múltiples ocasiones; el otro caso es de una mujer de 26 años que nos muestra, igualmente, recidivas y complicaciones serias. Un diagnóstico temprano y una detallada evaluación del caso, es imprescindible para un buen manejo, que es todo un reto debido a la alta tasa de recurrencia y complicaciones.
Presence of stones in the intrahepatic bile ducts is a common problem especially in East Asia. We report two cases: the first is a man who through several years had repeated episodes of obstructive jaundice. He underwent multiple procedures due to the recurrences. The second case is a woman who had recurrences and serious complications. A detailed evaluation and early diagnosis of each case are essential for a good treatment, which is challenging due to the high rate of recurrence and complications.
