title: [Massive lithiasis of the intra and extrahepatic bile ducts. Presentation of a clinical case].
abstract: A case of massive intra and extrahepatic lithiasis in a 52 year-old-man is presented. Diagnosis was confirmed by ultrasonography, CT and percutaneous cholangiography. The value of the different diagnostic procedures is analyzed. The need for elective surgical treatment is insisted on in order to remove the majority of the calculi, treatment of stenosis and adequate biliary drainage. Our case was treated with an hepatico-jejuno-duodenostomy (end to side) on an isolated jejunal loop with sphincteroplasty for drainage of the distal choledochus. In the postoperative period the patient was treated with Methyl-tert-butyl-ether for dissolution of the remaining calculi.
authors.affiliation: Servicio Cirugía Digestiva, Hospital Central Cruz Roja, Madrid.
authors.forename: J L
authors.initials: JL
authors.lastname: Ramos Rodríguez
authors.forename: J C
authors.initials: JC
authors.lastname: Ruiz de Adana
authors.forename: J M
authors.initials: JM
authors.lastname: Jover Navalón
authors.forename: J
authors.initials: J
authors.lastname: Alvarez Sánchez
authors.forename: A
authors.initials: A
authors.lastname: Carabias Hernández
authors.forename: M
authors.initials: M
authors.lastname: Moreno Azcoita
mesh_terms: D001653:Bile Ducts, Intrahepatic; D002769:Cholelithiasis / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D003131:Combined Modality Therapy; D003952:Diagnostic Imaging; D004386:Duodenum / Q000601:surgery; D004987:Ethers / Q000627:therapeutic use; D006801:Humans; D015994:Incidence; D007582:Jejunostomy; D008099:Liver / Q000601:surgery; D008297:Male; D008738:Methyl Ethers; D008875:Middle Aged; D012997:Solvents / Q000627:therapeutic use
chemical_list: D004987:Ethers; D008738:Methyl Ethers; D012997:Solvents; C043243:methyl tert-butyl ether
vernacular_title: Litiasis masiva de la vía biliar intra y extrahepática. Presentación de un caso clínico.