Intrahepatic Bile Duct Cyst Calculus and Gallbladder Stones Treated With Surgery: A Case Report

Koichi Kimura, Yasuhiro Doi, Yasushi Takii, Ryosuke Tsutsumi, Kensuke Kudou, Norifumi Tsutsumi, Tetsuo Ikeda and Soichiro Maekawa

Department of Internal Medicine, Munakata Medical Association Hospital, Japan
Depatment of Endoscopy and Endoscopic Surgery, Fukuoka Dental College, Japan

^*Correspondance to: Koichi Kimura 

 PDF  Full Text DOI: 10.25107/2474-1647.2028

Abstract

Background: Intrahepatic bile duct cyst calculus is an extremely rare case. We report a case of intrahepatic bile duct cyst calculus and gallbladder stones treated with surgery.Case
Presentation: A 76-year-oldwoman consulted our institution because of epigastric pain. Her blood chemistry results showed elevation of hepatic-cystic system enzymes. Computed tomography revealed cholecystitis with gallbladder stones and stones with in an intrahepatic bile duct cyst at the root of the right hepatic duct, which was suspected as a sub-gallbladder. Endoscopic retrograde cholangiopancreatography and other examinations were performed. Finally, the patient was diagnosed with double gallbladder stones and cholecystitis, and she underwent surgery. Intrahepatic bile duct cyst (considered as accessory gallbladder) and gallbladder resections and hepaticojejunostomy were performed with laparotomy. She progressed well post operatively and was discharged from the hospital on postoperative day 19. Postoperative histopathological examinations showed a definite diagnosis of intrahepatic bile duct cyst calculus and gallbladder stones with cholecystitis.Conclusion: We report a case of intrahepatic bile duct cyst calculus and gallbladder stones treated with surgery. Decision of surgical procedure by the location of intrahepatic bile duct cyst is essential for the treatment.

Keywords

Intrahepatic bile duct cyst calculus; Type V bile duct cyst; Gallbladder stone

Cite the article

Kimura K, Doi Y, Takii Y, Tsutsumi R, Kudou K, Tsutsumi N, et al. Intrahepatic Bile Duct Cyst Calculus and Gallbladder Stones Treated With Surgery: A Case Report. Clin Surg. 2018; 3: 2028.