Background:Hepatolithiasis after hepatic portoenterostomy for biliary atresia has been paid little attention,with only 22 reported cases. Patients and Methods:Fifteen patients underwent living-related liver transplant...Background:Hepatolithiasis after hepatic portoenterostomy for biliary atresia has been paid little attention,with only 22 reported cases. Patients and Methods:Fifteen patients underwent living-related liver transplantation for biliary atresia after hepatic portoenterostomy in our hospital between 1998 and 2004. The resected livers were examined for the existence and location of hepatolithiasis,composition of the calculi,and bacterial infection of bile. The relation between a history of cholangitis and the presence of hepatolithiasis was analyzed. Results:Intrahepatic calculi were found in 8 (53% ) of 15 patients. The calculi consisted of almost 100% calcium bilirubinate. Calculi were found in bile lakes in 8 patients. Bacteria were present in the bile in 8 (53% ) of the 15 patients. Of the 8 patients,7 (88% ) had a history of ascending cholangitis. Conclusions:Hepatolithiasis occurs after hepatic portoenterostomy for biliary atresiamore frequently than previously thought. Bile stasis and possibly bile infection are the main causes of calculi formation.展开更多
A 3-year-old girl presented with a protein-losing enteropathy caused by left paraduodenal hernia, as diagnosed by computed tomography and a small-bowel follow-through image.The patient received surgical treatment, and...A 3-year-old girl presented with a protein-losing enteropathy caused by left paraduodenal hernia, as diagnosed by computed tomography and a small-bowel follow-through image.The patient received surgical treatment, and her postoperative course was uneventful.Nineteen days later, the serum protein and albumin had recovered to normal levels.As well as providing the first description of left paraduodenal hernia accompanied with protein-losing enteropathy, we also review the pertinent literature.展开更多
文摘Background:Hepatolithiasis after hepatic portoenterostomy for biliary atresia has been paid little attention,with only 22 reported cases. Patients and Methods:Fifteen patients underwent living-related liver transplantation for biliary atresia after hepatic portoenterostomy in our hospital between 1998 and 2004. The resected livers were examined for the existence and location of hepatolithiasis,composition of the calculi,and bacterial infection of bile. The relation between a history of cholangitis and the presence of hepatolithiasis was analyzed. Results:Intrahepatic calculi were found in 8 (53% ) of 15 patients. The calculi consisted of almost 100% calcium bilirubinate. Calculi were found in bile lakes in 8 patients. Bacteria were present in the bile in 8 (53% ) of the 15 patients. Of the 8 patients,7 (88% ) had a history of ascending cholangitis. Conclusions:Hepatolithiasis occurs after hepatic portoenterostomy for biliary atresiamore frequently than previously thought. Bile stasis and possibly bile infection are the main causes of calculi formation.
文摘A 3-year-old girl presented with a protein-losing enteropathy caused by left paraduodenal hernia, as diagnosed by computed tomography and a small-bowel follow-through image.The patient received surgical treatment, and her postoperative course was uneventful.Nineteen days later, the serum protein and albumin had recovered to normal levels.As well as providing the first description of left paraduodenal hernia accompanied with protein-losing enteropathy, we also review the pertinent literature.
