A Case of Hepatolithiasis Caused by a String-like Remnant after Prior Surgery for Congenital Biliary Dilatation

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Key Points

This case describes a rare instance of hepatolithiasis caused by a remnant from previous biliary surgery in a patient with congenital biliary dilatation.
Case report of a 33-year-old male with Down syndrome and a history of biliary surgery.
Used imaging techniques to identify stones and remnants in intrahepatic bile ducts.
Performed left hepatectomy to remove stones and remnants identified during intraoperative cholangioscopy.
Identified multiple stones near the left intrahepatic bile duct related to previous surgical procedures.
Removed a string-like remnant during surgery, believed to have caused the hepatolithiasis.
This rare occurrence emphasizes the importance of monitoring long-term complications after biliary reconstruction.

Case report reveals hepatolithiasis caused by a surgical remnant in a patient with biliary dilatation, suggesting surgical attention is crucial.

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Sakurai et al. (2025) studied this question.

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