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CASE REPORT article

Front. Med.
Sec. Hepatobiliary Diseases
Volume 11 - 2024 | doi: 10.3389/fmed.2024.1466184

PTCD and Choledochoscopy for Recurrent Choledocholithiasis After Multiple Abdominal Surgeries: A Case Report

Provisionally accepted
Liqiang Li Liqiang Li Zihan Zeng Zihan Zeng *Jun Lu Jun Lu *Liang Li Liang Li *Jun Zhang Jun Zhang *
  • The Second People's Hospital of Hefei, Hefei, China

The final, formatted version of the article will be published soon.

    Background: Special attention should be given to intra-abdominal adhesions in patients with a history of open cholecystectomy for gallstones or abdominal surgery. Choosing the appropriate surgical approach to remove the stones is crucial. Patient summary: A 68-year-old male was admitted due to sudden onset of upper abdominal pain lasting more than 6 hours. In 2018, he underwent open Billroth II surgery for gastric cancer at an external hospital, and in 2020, he underwent open cholecystectomy for gallstones. In August 2023, he received gamma knife treatment for recurrent gastric cancer brain metastasis at another hospital with good results. In December of the same year, the patient presented to our hospital due to recurrent common bile duct stones and cholangitis. Given his history of two abdominal surgeries, percutaneous transhepatic cholangiodrainage (PTCD) combined with choledochoscopic stone extraction was chosen, which was successful in completely removing the stones. A PTCD tube was left in place postoperatively. Conclusion: For patients with a history of two or more abdominal surgeries who experience recurrent common bile duct stones, PTCD has the advantages of a shorter operative time, less blood loss, earlier postoperative ventilation, earlier resumption of eating, minimal trauma and faster recovery.

    Keywords: Gallbladder stones, Cholangitis, Percutaneous transhepatic cholangiodrainage, case report, Epigastric pain, history of multiple abdominal surgeries

    Received: 17 Jul 2024; Accepted: 15 Nov 2024.

    Copyright: © 2024 Li, Zeng, Lu, Li and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Zihan Zeng, The Second People's Hospital of Hefei, Hefei, China
    Jun Lu, The Second People's Hospital of Hefei, Hefei, China
    Liang Li, The Second People's Hospital of Hefei, Hefei, China
    Jun Zhang, The Second People's Hospital of Hefei, Hefei, China

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