Volume 7, Issue 2, April 2019, Page: 41-45
Percutaneous Transhepatic Cholangioscopy and Lithotripsy for Intrahepatic Biliary Stones and Sclerosing Cholangitis Secondary to Kasai Procedure for Biliary Atresia: A Case Report
Gkekas Ioannis, Department of Surgery, Karolinska Institute at Huddinge University Hospital, Stockholm, Sweden
Fagerström Niklas, Department of Surgery, Karolinska Institute at Huddinge University Hospital, Stockholm, Sweden
Waldthaler Alexander, Functional Unit GI Endoscopy, Karolinska Institute, Stockholm, Sweden
Laustsen Jesper, Functional Unit GI Endoscopy, Karolinska Institute, Stockholm, Sweden
Arnelo Urban, Department of Surgery, Karolinska Institute at Huddinge University Hospital, Stockholm, Sweden
Received: Apr. 1, 2019;       Accepted: Apr. 23, 2019;       Published: May 20, 2019
DOI: 10.11648/j.js.20190702.14      View  136      Downloads  19
Abstract
The primary therapy for biliary atresia is a surgical hepatic portoenterostomy, known as Kasai procedure, which has been shown to reduce mortality. Patients that undergo this procedure often develop complications such as ascending cholangitis and biliary cirrhosis. In case of recurrent cholangitis, surgical revision and percutaneous biliary drainage are the most used techniques, while in rare cases endoscopic retrograde cholangiopan­creatography (ERCP) has been used. Here we report a case of a patient with intrahepatic lithiasis and secondary sclerosing cholangitis after Kasai procedure, successfully treated with percutaneous transhepatic cholangioscopy (PTCS)-assisted lithotripsy.
Keywords
Biliary Atresia, Kasai Procedure, Lithotripsy, Sclerosing Cholangitis, Case Report
To cite this article
Gkekas Ioannis, Fagerström Niklas, Waldthaler Alexander, Laustsen Jesper, Arnelo Urban, Percutaneous Transhepatic Cholangioscopy and Lithotripsy for Intrahepatic Biliary Stones and Sclerosing Cholangitis Secondary to Kasai Procedure for Biliary Atresia: A Case Report, Journal of Surgery. Vol. 7, No. 2, 2019, pp. 41-45. doi: 10.11648/j.js.20190702.14
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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