A case of choledochocholecystolithiasis with Duchenne muscular dystrophy, successfully treated by percutaneous transhe patic transcholecystoductal lithotomy with papillary balloon dilation

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  • TSUKIOKA Yuji
    Department of Surgery, Asanogawa General Hospital (Kanazawa)
  • OYAMA Katsunobu
    Department of Surgery, Asanogawa General Hospital (Kanazawa)
  • YAGASAKI Ryou
    Department of Surgery, Asanogawa General Hospital (Kanazawa)
  • NAKANO Tatsuo
    Department of Surgery, Asanogawa General Hospital (Kanazawa)
  • SAKUMA Hiroshi
    Department of Surgery, Asanogawa General Hospital (Kanazawa)
  • UENO Keiichi
    Department of Gastroenterological Surgery, Kanazawa Medical College (Uchinada)

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Other Title
  • 経皮経肝経胆嚢管ルートからの乳頭バルーン拡張術が有用であった,胆嚢,総胆管結石症の1例

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Abstract

A 34-year-old man, who was diagnosed as Duchenne muscular dystrophy at 6 years old, with respiratory care from 18 years old, was admitted to our hospital because of treatment for obstructive jaundice. Operation and percutaneous transhepatic biliary drainage were impossible for heart failure and/or no observation by echo due to metaphresis of body respectively, so percutaneous transhepatic gallbladder drainage was performed. Jaundice disappeared and liver function was improved. But later liver dysfunction and pancreatitis appeared sometimes. So we inserted the tube with papilla of Vater dilation balloon through cystic duct of gallbladder, dilated papilla of Vater and pushed out choledocholithiasis to duodenum. Cholecystolithiasis was removed using basket forceps with cholangioscopy. Since liver dysfunction and pancreatitis disappeared.

Journal

  • Tando

    Tando 16 (1), 53-56, 2002

    Japan Biliary Association

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