A case report on choledochotomy with t-tube in rare case of oriental cholangiohepatitis in 33-year-old male patient

Harshad M. Kavad; Hardik Patel; Tejas Patel; Hardik Astik

doi:10.18203/2349-2902.isj20241156

Authors

Harshad M. Kavad Department of General Surgery, New Civil Hospital, Surat, Gujarat, India
Hardik Patel Department of General Surgery, New Civil Hospital, Surat, Gujarat, India
Tejas Patel Department of General Surgery, New Civil Hospital, Surat, Gujarat, India
Hardik Astik Department of General Surgery, New Civil Hospital, Surat, Gujarat, India

DOI:

https://doi.org/10.18203/2349-2902.isj20241156

Keywords:

Oriental cholangiohepatitis, Recurrent bacterial cholangitis, Recurrent pyogenic cholangitis, T-tube, Choledochotomy, Hong-Kong disease

Abstract

A 33-year-old male patient presented in OPD with c/o abdominal pain in right hypochondrium since 1 month which is mild in nature and intermittent on and off type and yellowish sclera since 1 year which is gradually increases. On CECT abdomen shows CHD dilated (15 mm) and sludge within it, RHD dilated (15 mm) and sludge within it, LHD dilated (11 mm) and calculus within it. patient is operated with choledocotomy with T-tube insertion in CBD, post operatively patient had significant improvement in clinical symptoms and lab findings also suggestive of better outcome.

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References

Verweij KE, Buuren H. Oriental cholangiohepatitis (recurrent pyogenic cholangitis): a case series from the Netherlands and brief review of the literature. Neth J Med. 2016;74(9):401-5.

Lim JH. Oriental cholangiohepatitis: pathologic, clinical, and radiologic features. AJR Am J Roentgenol. 1991;157(1):1-8.

Nguyen T, Powell A, Daugherty T. Recurrent pyogenic cholangitis. Dig Dis Sci. 2010;55(1):8-10.

Afagh A, Pancu D. Radiologic findings in recurrent pyogenic cholangitis. J Emerg Med. 2004;26(3):343-6.

Jain M, Agarwal A. MRCP findings in recurrent pyogenic cholangitis. Eur J Radiol. 2008;66(1):79-83.

Jeyarajah DR. Recurrent Pyogenic Cholangitis. Curr Treat Options Gastroenterol. 2004;7(2):91-8.

Ray S, Sanyal S, Das K, Ghosh R, Das S, Khamrui S, et al. Outcome of surgery for recurrent pyogenic cholangitis: a single center experience. HPB (Oxford). 2016;18(10):821-6.

Wilson MK, Stephen MS, Mathur M, Sheldon D, Storey D. Recurrent pyogenic cholangitis or "oriental cholangiohepatitis' in occidentals: case reports of four patients. Aust N Z J Surg. 1996;66(9):649-52.

Chijiiwa K, Yamashita H, Yoshida J, Kuroki S, Tanaka M. Current management and long-term prognosis of hepatolithiasis. Arch Surg. 1995;130(2):194-7.