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Biliary lithiasis and helminthiasis

A E Yellin, A J Donovan

    American Journal of Surgery
    |July 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Oriental cholangiohepatitis, a syndrome involving liver flukes and bile duct stones, often requires surgical intervention. This condition, seen in recent immigrants, necessitates procedures like choledochoenterostomy due to its complex biliary manifestations.

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    Area of Science:

    • Hepatobiliary Medicine
    • Parasitology
    • Gastroenterology

    Background:

    • Oriental cholangiohepatitis presents with helminthiasis, bile duct stones (choledocholithiasis), biliary strictures, and liver abscesses.
    • Common duct stones are typically multiple, black, and friable, often occurring without gallstones (cholecystolithiasis).

    Purpose of the Study:

    • To describe the clinical characteristics and management of Oriental cholangiohepatitis in recent US immigrants.
    • To highlight the challenges in treating this helminthic biliary tract disease.

    Main Methods:

    • Retrospective case review of 14 recent immigrants diagnosed with Oriental cholangiohepatitis.
    • Analysis of clinical presentations, diagnostic findings, and treatment outcomes.

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    Main Results:

    • Thirteen of 14 patients presented with choledocholithiasis; one had viable flukes in the bile ducts.
    • Choledochoenterostomy was frequently required due to multiple stones, including intrahepatic stones, or Clonorchis sinensis infestation.
    • Surgical resection was necessary in cases involving abscess and stricture of the left hepatic duct.

    Conclusions:

    • Oriental cholangiohepatitis is a significant helminthic disease in immigrants, often requiring complex surgical management.
    • Effective treatment relies on addressing the parasitic infestation and its complications, such as stones and strictures.