Korean J Med.
2008 Nov;75(5):582-585.
A case of perihepatic abscess associated with intrahepatic bile duct stones and intrahepatic adenosquamous carcinoma
- Affiliations
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- 1Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea. krjoo@khu.ac.kr
- 2Department of Surgery, Kyung Hee University School of Medicine, Seoul, Korea.
- 3Department of Pathology, Kyung Hee University School of Medicine, Seoul, Korea.
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.
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