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Indian J Surg. 2011 Aug;73(4):309-11. doi: 10.1007/s12262-011-0267-9. Epub 2011 Apr 15.

Recurrent pyogenic cholangitis treated by left hepatectomy.

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Department of Surgical Gastroenterology, School of Digestive and Liver Diseases, I.P.G.M.E.R., Kolkata, 20 India.


Recurrent pyogenic cholangitis is managed mostly by conservative treatment or by clearance of stones and biliary enteric by-pass procedure. Hepatectomy is rarely needed. We report a case of recurrent pyogenic cholangitis in a 34-year old man, who presented with recurrent upper abdominal pain, mild jaundice, and fever since childhood. Contrast enhanced computed tomography of abdomen and magnetic resonance cholangiopancreatography confirmed the diagnosis and showed significant atrophy of the left lobe of the liver. Patient was treated successfully with left hepatectomy and was well at 9 month follow-up.


Atrophy; CT scan abdomen; Hepatectomy; MRCP; Recurrent pyogenic cholangitis

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