The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2008;75(5):582-585.
증례: 간내담관담석 및 간내샘편평암종과 동반된 간주위 농양 1예
조창현.주광로.차재명.박종범.이정일.주선형.김교영, , , , , ,
A case of perihepatic abscess associated with intrahepatic bile duct stones and intrahepatic adenosquamous carcinoma
Chang-Hyun Cho, Kwang Ro Joo, Jae Myung Cha, Jong Beom Park, Joung Il Lee, Sunhyung Joo, Gou Young Kim
경희대학교 의과대학 순환기내과학교실


Abstract
Perihepatic abscess is a serious complication of bile duct or hollow viscus injury, with significant morbidity and mortality rates. Perihepatic abscess due to non-traumatic rupture of the biliary tree usually occurs in the presence of biliary stones. In contrast, perihepatic abscess as a result of spontaneous rupture of cholangiocarcinoma is very rare; cholangiocarcinoma generally forms a hard tumor with abundant fibrous stroma, making them difficult to rupture. Here, we describe a case of perihepatic abscess associated with intrahepatic bile duct stones and ipsilateral cholangiocarcinoma. Although it is unclear whether the etiology of perihepatic abscess was rupture of the biliary tree or cholangiocarcinoma, this association is very rare and has never before been reported in the literature. (Korean J Med 75:582-585, 2008)

Keywords :Biliary calculi, Cholangiocarcinoma, Perihepatic abscess
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