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KMID : 0359019940140030380
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Korean Journal of Gastrointestinal Endoscopy
1994 Volume.14 No. 3 p.380 ~ p.385
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A Case of Large Bile Duct Stones Complicated by Pyogenic Pericarditis, Liver Abscess, and Pyothorax
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박병수
안진형/최우석/조병석/고정희/박강서/최덕례/최호순
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Abstract
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The complications of bile duct stone are cholangitis, pancreatitis, obstructive jaundice, liver abscess, and secondary biliary cirrhosis. Liver abscess may produce pyothorax, peritonitis, subphrenic abscess, and pyogenic pericarditis. The case
studies
of pyogenic pericarditis secondary to pyogenic liver abscess are rarely reported. Stones greater than 20mm in diameter are difficult or impossible to remove with a standard basket or balloon after sphincterotomy. There are several nonsurgical
treatment
options for large bile duct stone: mechanical lithotripsy, endoprosthesis, extracorporeal shock-wave lithotripsy (ESWL), electrohydraulic lithotripsy, contact dissolution therapy. And laser lithotripsy. We experienced a case of large bile duct
stone
which complicated by pyogenic pericarditis, liver abscess, and pyothorax. He treated with antibiotics, antibiotics, closed thoracostomy, partial pericardiectomy, and removal of bile duct stones by extracorporeal shock-wave and mechanical
lithotripsy
after endoscopic sphincterotomy and nasobiliary drainage.
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KEYWORD
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