Abstract
A 64-year-old woman, in whom a dilated bile duct in the posterior segment of the liver was incidentally noticed 10 years before, underwent cholecystectomy and choledochal drainage for biliary stones in 1984. Operative chalangiogram revealed dilatation of the bile duct (B6) with residual stones. Although endoscopic papillotomy was postoperatively added to salvage the residual stones, the dilated bile duct and residual stones were remained. The patient had been suffering from recurrent cholangitis. In 1989, subsequent occurrence of liver abscess in the same region was found. Bile cytology through percutaneous transhepatic drainage revealed the coexistence of malignant tumor. So extensive resection of right lobectomy of the liver, including right kidney and a part of diaphragma was performed because of intensive invasion, but resulted in absolute noncurative resection. Six months later, she died from the rapidgrowing recurrence of the tumor. This case indicated that prophylactic resection of the involved segment of the liver can be justified considering of occurrence of the malignant tumor secondary to hepatolithiasis and cholangitis.
