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[Hepatolithiasis--a rare disorder in our population]
V Treska1, T Skalický, A Sutnar
1Chirurgická klinika FN v Plzni. treska@fnplzen.cz
Summary
Hepatolithiasis, a rare condition, requires surgical intervention. Liver resection of the affected region is the recommended treatment for this bile duct stone disorder.
Area of Science:
- Hepatobiliary surgery
- Gastroenterology
- Diagnostic imaging
Background:
- Hepatolithiasis, characterized by intrahepatic stones, is uncommon in Western populations.
- It often presents with symptoms like abdominal pain and cholangiogenic sepsis.
- Complications can include liver cirrhosis.
Observation:
- Three cases of symptomatic hepatolithiasis treated surgically between 2000-2008 are reviewed.
- Diagnostic methods included ultrasound, CT, MRI cholangiography, and ERCP.
- One case was associated with Caroli syndrome.
Findings:
- All patients underwent left-sided lobectomy for stones in liver segments 2 and 3.
- A separate patient had segment 4 resection for bile duct dilation, fistula, and sepsis.
- No 30-day postoperative mortality was observed.
Implications:
- Surgical resection of the affected liver area is the primary treatment for hepatolithiasis.
- Early diagnosis and intervention are crucial for managing this rare condition.
- This approach offers a favorable prognosis with nil mortality.
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