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Secondary Sclerosing Cholangitis After Emphysematous Cholecystitis. 2023
Koji Takahashi, and
Hiroshi Ohyama, and
Yuichi Takiguchi, and
Yu Sekine, and
Shodai Toyama, and
Nana Yamada, and
Chihei Sugihara, and
Motoyasu Kan, and
Mayu Ouchi, and
Hiroki Nagashima, and
Yotaro Iino, and
Yuko Kusakabe, and
Kohichiroh Okitsu, and
Izumi Ohno, and
Naoya Kato
Department of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan.
A 64-year-old woman was diagnosed with emphysematous cholecystitis. An open cholecystectomy was performed immediately. After the cholecystectomy, jaundice and multiple bile duct strictures that were not present preoperatively appeared. The patient was diagnosed with sclerosing cholangitis secondary to emphysematous cholecystitis. Endoscopic biliary stenting and endoscopic biliary balloon dilatation were performed. However, jaundice did not improve. She developed candidemia 75 days after cholecystectomy. The patient died of multiple organ failures 92 days after cholecystectomy. Although rare, secondary sclerosing cholangitis occurred after emphysematous cholecystitis, and endoscopic treatment was ineffective in this case.
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