A Case of Primary Pure Cholesterol Hepatolithiasis.
- Author:
Chul Ho HYUNG
1
;
Myung Hwan KIM
;
Gi Deog KIM
;
Sung Hee PYO
;
Sung Hoon MOON
;
Hyeong Su KIM
;
Young Ju JUNG
;
Moon Hee SONG
;
Sang Soo LEE
;
Dong Wan SEO
;
Sung Koo LEE
;
Young Il MIN
Author Information
1. Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. mhkim@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Hepatolithiasis;
Cholesterol ston
- MeSH:
Adult;
Cholesterol*;
Female;
Humans;
Hyperemia;
Korea;
Recurrence;
Ultrasonography;
Ursodeoxycholic Acid
- From:Korean Journal of Gastrointestinal Endoscopy
2003;26(6):448-453
- CountryRepublic of Korea
- Language:Korean
-
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.
