Combined surgical and radiologic approach to recurrent cholangitis and intrahepatic pigment stones

K. Rajender Reddy, Duane G. Hutson, Edward Russell, Lennox J. Jeffers, Eugene R. Schiff

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

A 37-yr-old white woman from Australia presented with ascending cholangitis and jaundice and was found to have multiple brown, "earthy" pigment stones in the biliary tree, including the segmental ducts. Removal of these stones was accomplished via a subcutaneously placed afferent jejunal limb of a choledochojejunostomy using balloon dilators. The jejunal conduit also served as an access for periodic removal of newly formed stones. This combined surgical and radiologic approach is an effective way of removing recurring pigment stones. The afferent jejunal limb can also be used to perfuse dissolution agents, if necessary, via catheters placed in the biliary tree.

Original languageEnglish (US)
Pages (from-to)1383-1387
Number of pages5
JournalGastroenterology
Volume95
Issue number5
DOIs
StatePublished - Nov 1988

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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