A Case of Large Bile Duct Stones Complicated by Pyogenic Pericarditis, Liver Abscess, and Pyothorax.
- Author:
Ho Soon CHOI
;
Kang Seo PARK
;
Duck Reii CHOI
;
Jung Hee KHO
;
Woo Seok CHOI
;
Jin Hyung AHN
;
Byoung Seok CHO
;
Byoung Soo PARK
- Publication Type:Case Report
- Keywords:
Pyogenic pericarditis;
Liver abscess;
Empyema;
Complication;
Large bile duct stone
- MeSH:
Anti-Bacterial Agents;
Bile Ducts*;
Bile*;
Cholangitis;
Drainage;
Empyema;
Empyema, Pleural*;
Jaundice, Obstructive;
Lithotripsy;
Lithotripsy, Laser;
Liver Abscess*;
Liver Abscess, Pyogenic;
Liver Cirrhosis, Biliary;
Liver*;
Pancreatitis;
Pericardiectomy;
Pericarditis*;
Peritonitis;
Sphincterotomy, Endoscopic;
Subphrenic Abscess;
Thoracostomy
- From:Korean Journal of Gastrointestinal Endoscopy
1994;14(3):380-385
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The complications of bile duct stone are cholangitis, pancreatitis, obstructive jaundice, liver abscess, and secondary biliary cirrhosis. Liver abscess may produce pyothorax, peritonitis, subphrenic abscess, and pyogenic pericarditis. The case studies of pyogenic pericarditis secondary to pyogenic liver abscess are rarely reported. Stones greater than 20mm in diameter are difficult or impossible to remove with a standard basket or balloon after sphincterotomy. There are several nonsurgical treatment options for large bile duct stone: mechanical lithotripsy, endoprosthesis, extracorporeal shock-wave lithotripsy (ESWL), electrohydraulic lithotripsy, contact dissolution therapy, and laser lithotripsy. We experienced a case of large bile duct stone which complicated by pyogenic pericarditis, liver abscess, and pyothorax. He treated with antibiotics, closed thoracostomy, partial pericardiectomy, and removal of bile duct stones by extracorporeal shock-wave and mechanical lithotripsy after endoscopic sphincterotomy and nasobiliary drainage.
