Korean J Med > Volume 77(3); 2009 > Article
The Korean Journal of Medicine 2009;77(3):343-348.
Actinomycosis of the intrahepatic bile duct concomitant with intrahepatic duct stones
Rack Cheon Bae, Min Kyu Jung, Han Jin Cho, Soo Young Park, Chang Min Cho, Won Young Tak, Young Oh Kweon
간내 결석에 동반된 담관 방선균증 1예
배락천·정민규·조한진·박수영·조창민·탁원영·권영오, Min Kyu Jung, Han Jin Cho, Soo Young Park, Chang Min Cho, Won Young Tak, Young Oh Kweon
Abstract
Actinomycosis is a chronic, suppurative, granulomatous disease caused by Actinomyces species, a filamentous, Gram-positive anaerobic bacterium and a normal inhabitant of the oral cavity and gastrointestinal tract characterized by sulfur granule formation. Primary bile duct actinomycosis is very rare in Korea and the pathogenesis of this infection is poorly understood. We report a case of actinomycosis of the intrahepatic bile duct, concomitant with common bile duct and intrahepatic duct stones presenting as intermittent right upper quadrant abdominal pain without fever as the chief complaint in a 50-year-old woman. The radiologic findings revealed multiple intrahepatic duct and common bile duct stones. On performing a left lobectomy of the liver and endoscopic retrograde cholangiopancreatography, marked dilatation of the intrahepatic bile duct and many brown pigment stones in the intrahepatic duct and common bile duct were observed. Primary bile duct actinomycosis was confirmed by identifying sulfur granules with neutrophilic infiltration in the intrahepatic duct. (Korean J Med 77:343-348, 2009)
Key Words: Actinomycosis; Bile duct; Stones


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