[Cholangitis with subphrenic abscess after complicated cholecystectomy due to occluded plastic stents].

Abstract:

:A 62-year-old lady presented with fever and abdominal pain. History revealed cholecystectomy two years ago due to cholecystolithiasis, complicated by perforation of the common bile duct, leading to hepaticojejunostomy, jejunocholedochostomy, endoscopic retrograde insertion of two plastic stents and percutaneous drainage of bilioma. The patient was lost to follow-up until she presented two years later in the emergency room. ERC was performed. Both stents were occluded. After extraction dirty bile popped out. Injection of contrast medium showed stones in the remaining common bile duct and dilatation of the intrahepatic bile ducts and the interposed jejunum. After stone extraction a subphrenic intrahepatic fluid collection became visible when injecting contrast medium in the intrahepatic bile ducts. Pus was aspirated. The abscess was drained with a nasobiliary tube. Antibiotics were given. Temperature and CRP normalized. The nasobiliary tube was removed when the biliary fluid was clear. Recovery was uneventful with complete resolution of symptoms.

journal_name

Z Gastroenterol

authors

Zuber-Jerger I,Schoelmerich J,Kullmann F

doi

10.1055/s-2005-858973

subject

Has Abstract

pub_date

2006-04-01 00:00:00

pages

319-22

issue

4

eissn

0044-2771

issn

1439-7803

journal_volume

44

pub_type

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