Korean J Gastrointest Endosc > Volume 26(6); 2003 > Article
Korean Journal of Gastrointestinal Endoscopy 2003;26(6): 448-453.
20대 여성에서 발생한 원발성 간내 순수 콜레스테롤 담석
형철호·김명환·김기덕·표성희·문성훈·김형수·정영주·송문희·이상수·서동완·이성구·민영일
울산대학교 의과대학 서울아산병원 내과
A Case of Primary Pure Cholesterol Hepatolithiasis
Chul Ho Hyung, M.D., Myung-Hwan Kim, M.D., Gi Deog Kim, M.D., Sung Hee Pyo, M.D., Sung Hoon Moon, M.D., Hyeong-Su Kim, M.D., Young Ju Jung, M.D., Moon Hee Song, M.D., Sang Soo Lee, M.D., Dong Wan Seo, M.D., Sung Koo Lee, M.D. and Young Il Min, M.D.
Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea
Abstract
In the past, most hepatolithiasis had been brown pigment stones in Korea. However, stones with high cholesterol content are found with increasing frequency. Abdominal ultrasonography is superior to CT for detection of cholesterol hepatolithiasis. The characteristic gross morphology of pure cholesterol hepatolithiasis shown by cholangioscopy is diagnostic. An effective medical management consists of stone removal by percutaneous transhepatic cholangioscopy and ursodeoxycholic acid for the prevention of recurrence. We here report a case of primary pure cholesterol hepatolithiasis with a review of the literature. A 29-year-old woman presented with right upper quadrant pain. Abdominal ultrasonography showed right intrahepatic duct stones. A cholangioscopy revealed typical cholesterol stones, mucosal hyperemia, and mild narrowing in stone-bearing intrahepatic duct. Cholangioscopic stone removal via the percutaneous transhepatic route was successfully performed. To prevent recurrence, ursodeoxycholic acid was administered. (Korean J Gastrointest Endosc 2003;26:448⁣453)
Key Words: Hepatolithiasis, Cholesterol stone
주요어: 간내 담석, 콜레스테롤 담석
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