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Updated: May 17, 2026

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
Published on: September 13, 2022
Clostridium perfringens bacteremia caused by choledocholithiasis in the absence of gallbladder stones
Antwan Atia1, Tejas Raiyani, Pranav Patel
1Department of Gastroenterology, James H Quillen V.A. Medical Center, Johnson, Mountain Home, TN 37615, United States. antwan.atia@yahoo.com
Abstract:
A 67-years-old male presented with periumbilical abdominal pain, fever and jaundice. His anaerobic blood culture was positive for clostridium perfringens. Computed tomogram scan of the abdomen and abdominal ultrasound showed normal gallbladder and common bile duct (CBD). Subsequently magnetic resonance cholangiopancreaticogram showed choledocholithiasis. Endoscopic retrograde cholangiopancreaticogramwith sphincterotomy and CBD stone extraction was performed. The patient progressively improved with antibiotic therapy Choledocholithiasis should be considered as a source of clostridium perfringens bacteremia especially in the setting of elevated liver enzymes with cholestatic pattern.
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