De la Peña CDD, Alvarado ÁMTH, Heredia SLA

Language: Spanish
References: 5
Page: 584-586
PDF size: 508.76 Kb.

ABSTRACT

Cholangitis is a serious disease with a mortality rate of up to 10%. Diagnosis is based on clinical, biochemical, and imaging findings. Residual stone after cholecystectomy can cause cholangitis, but the mechanism by which this occurs has not been previously reported. We present the case of a patient who, following cholecystectomy, developed cholangitis due to a residual stone in the remnant of the cystic duct. The high sensitivity and specificity of diagnostic studies are not infallible. A residual stone can cause cholangitis due to extrinsic compression; it should be considered in the differential diagnosis.

REFERENCES

1. Kimura Y, Takada T, Strasberg SM et al. TG13 current terminology,etiology, and epidemiology of acute cholangitis and cholecystitis. JHepatobiliary Pancreat Sci. 2013; 20 (1): 8-23. doi: 10.1007/s00534-012-0564-0.

2. Ruiz PJ, García MA, Ruescas GFJ, Jurado RM, Scortechini M, SagredoRupérez MP, Valiente Carrillo J. Differences between residualand primary choledocholithiasis in cholecystectomy patients.Rev Esp Enferm Dig. 2020; 112 (8): 615-619. doi: 10.17235/reed.2020.6760/2019.

3. Hernández-Villeda D, Gómez-Pérez MG. Litiasis del conducto císticoremanente, hallazgo por resonancia magnética. An Radiol Mex. 2020;19 (4): 329-332.

4. Caddy GR, Tham TC. Gallstone disease: symptoms, diagnosis andendoscopic management of common bile duct stones. Best PractRes Clin Gastroenterol. 2006; 20 (6): 1085-1101. doi: 10.1016/j.bpg.2006.03.002.

5. Clemente G, Tringali A, De Rose AM et al. Mirizzi syndrome: diagnosisand management of a challenging biliary disease. Can J GastroenterolHepatol. 2018; 2018: 6962090. doi: 10.1155/2018/6962090.