BACKGROUND: Hepatolithiasis is prevalent in Southeast Asia and presents a difficult treatment problem. The main purposes of treatment are clearance of the stones and elimination of @entity1157 . Acute @entity788 due to @entity1085 is a well documented phenomenon. To the best of our knowledge, there is no previous report of @entity656 due to intrahepatic stone. We report an intriguing case of @entity656 subsequent to postoperative choledochoscopy for residual intrahepatic stone. CASE REPORT: The @entity1 , a 56-year-old male, suffered from intermittent epigastralgia for about 2 years. Endoscopic retrograde cholangiopancreatography (ERCP) performed after admission showed incomplete contrast filling of the right intrahepatic duct. The @entity1 underwent surgical intervention with the diagnosis of right intrahepatic stones. Postoperative T-tube cholangiography demonstrated impacted right intrahepatic stones behind the stricture. Postoperative matured T-tube tract ductal dilatation (2-4) was begun about 4 weeks after the operation. Choledochoscopy was performed after dilatation. After the third postoperative choledocoscopy for residual stone extraction, the @entity1 complained of @entity490 the next day. Abdominal CT showed distal common bile duct stone and @entity656 . After medical treatment, @entity1 recovered CONCLUSIONS: Extrahepatic ductal migration with resultant @entity656 is possible in @entity1 with hepatolithiasis. The awareness of such a possibility enables clinicians to promptly recognize and appropriately manage this kind of @entity656 .

Acute XXXX following choledochoscopic stone extraction for hepatolithiasis.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1085 :: ('MESH:D005705', 'Disease') :: ['migratory gall bladder stone'] @entity788 :: ('MESH:D010190', 'Disease') :: ['pancreatitis'] @entity656 :: ('MESH:D019283', 'Disease') :: ['acute pancreatitis'] @entity1157 :: ('MESH:D001649', 'Disease') :: ['bile stasis'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain']
@entity788 :: (MESH:D010190,Disease) :: ['pancreatitis']
