A Case of Choledocholithiasis in a 3-Month-Old Infant : Utility of Primary Choledocholithotomy Followed by Transcystic Duct Drainage Tube (C-Tube)

Takama Yuichi, Kubota Akio, Okuyama Hiroomi, Kawahara Hisayoshi, Nakai Hiroshi, Yoshida Hideki

doi:10.11164/jjsps.41.5_761

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Other Title

フォガティーカテーテルを用いた切石と経胆嚢管的胆道ドレナージチューブ(C-tube)留置法 : 3カ月乳児の総胆管結石症に対する手術
症例報告フォガティーカテーテルを用いた切石と経胆嚢管的胆道ドレナージチュ-ブ(C-tube)留置法--3カ月乳児の総胆管結石症に対する手術
ショウレイホウコクフォガティーカテーテルオモチイタセッセキトケイタンノウカンテキタンドウドレナージチュブ C tube リュウチホウ 3カゲツニュウジノソウタンカンケッセキショウニタイスルシュジュツ

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Description

Choledocholithiasis in infants is rare. We report a case of a 3-month-old infant with choledocholithiasis, which presumably resulted from operations for HLHS. At 2 months of age, acholic stool and elevation of serum level of biliary enzymes were noticed. Ultrasonography demonstrated cholecystolithiasis and choledocholithiasis. An operation was performed. The diameter of the common bile duct was 4mm and T-tube drainage was impossible. Therefore, after primary choledocholithotomy, a transcystic duct drainage tube (C-tube) was placed. Six days after surgery, cholangiography via the C-tube showed good patency without anastomotic stenosis, so the C-tube was removed. His postoperative course was uneventful. Although in adult cases C-tube placement is becoming standard procedure, its employment has not been reported in small children. In this report the authors emphasize the usefulness of C-tube placement in infants. It should be a standard procedure in the treatment of choledocholithiasis in children, especially in infants.

Journal

Journal of the Japanese Society of Pediatric Surgeons

Journal of the Japanese Society of Pediatric Surgeons 41 (5), 761-766, 2005

The Japanese Society of Pediatric Surgeons

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