A Case Report of Hepatolithiasis Accompanied with Pyrothorax

Menobohn Chin, Takeshi Hironaka, Takashi Hayashi, Makoto Ono, Katsufumi Hori, Kenji Ogino*, Yasuyuki Nagao*, Satoru Okumura**

Department of Surgery, Prefectural Kohoku General Hospital
*Department of Internal Medicine, Prefectural Kohoku General Hospital
**Second Department of Surgery, Kyoto Prefectural University, School of Medicine

The patient was a 63-year-old female who was examined at the Department of Internal Medicine of our hospital with chief complaints of left chest pain and fever, and was admitted under a diagnosis of pyrothorax. The pyrothorax was treated by irrigation through a percutaneous intrathoracic drain. Various imaging examinatins revealed that bile tree infectin due to hepatolithiasis of the lateral segment developed into left pyrothorax. Lateral segmentectomy of the liver was carried out, because the patient had [IE·L·S₂l-m·D₂lm∼], Sp₀ according to the Japanese classification of hepatolithiasis and an atrophic lateral segment. The patient showed an interesting course of bile tree infection and a good indication for hepatectomy.

Key words
hepatolithiasis, pyrothorax, hepatectomy

Reprint requests
Menbohn Chin Department of Surgery, Prefectural Kohoku General Hospital
1221 Kuroda, Kinomoto-cho, Ika-gun, Siga, 529-04 JAPAN

Accepted
July 10, 1990

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