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Accession number;03A0557518
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| Title;A case report of confluence stone |
| Author;
MATSUYAMA KAZUO
(Tokushima Prefect. Chu-Ou Hospital)
HAYASHI NAOHIKO
(Tokushima Prefect. Chu-Ou Hospital)
SATO HIROHIKO
(Tokushima Prefect. Chu-Ou Hospital)
WATANABE MIE
(Tokushima Prefect. Chu-Ou Hospital)
YOSHIDA OSAMU
(Tokushima Prefect. Chu-Ou Hospital)
TABUCHI HIROSHI
(Tokushima Prefect. Chu-Ou Hospital)
TSUCHIHIRO NORIYUKI
(Tokushima Prefect. Chu-Ou Hospital)
FUJINO RYOZO
(Tokushima Prefect. Chu-Ou Hospital)
NAGANO TAKASHI
(Tokushima Prefect. Chu-Ou Hospital)
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Journal Title;Shikoku Acta Medica
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Journal Code:G0586A
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ISSN:0037-3699
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VOL.59;NO.3;PAGE.166-170(2003)
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| Figure&Table&Reference;FIG.7, REF.11 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;Confluence stone is a rare disease that is difficult to diagnose before surgery and that tend to accompany intraoperative biliary tract injury and postoperative stenosis, unexpectively. We have report a case of confluence stone. The patient was 67-year-old woman. During treatment for cholecystolithiasis at another hospital, she had upper abdominal pain three times without fever up and jaundice. She was reffered to our hospital for a detailed examination. Ultrasonography, CT and endoscopic retrograde cholangiopancreatography (ERCP) allowed a diagnosis of common bile duct stenosis caused by confluence stone. Laparotomy was then performed. No malignancy was shown despite of seveve cholecystitis. Thus cholecystectomy was carried out, then the biliary stenosis was repaired by patch graft method. It is known that confluence stone arise biliostasis with the progression of chronic cholecystitis. Therefore, in cases of severe chronic cholecystitis we should consider the possibility of the confluence stone and take care of the biliary tract injury and postoperative stenosis. (author abst.) |
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