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Case Reports in Gastrointestinal Medicine
Volume 2017 (2017), Article ID 8575674, 3 pages
https://doi.org/10.1155/2017/8575674
Case Report

Percutaneous Endoscopic Management for Oriental Cholangiohepatitis: A Case Report and a Brief Review of the Literature

1Department of Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, SD, USA
2Department of Radiology, University of South Dakota Sanford School of Medicine, Sioux Falls, SD, USA
3Department of Gastroenterology, University of South Dakota Sanford School of Medicine, Sioux Falls, SD, USA

Correspondence should be addressed to Khalil Aloreidi; ude.dsu@idierola.lilahk

Received 21 May 2017; Accepted 31 July 2017; Published 27 August 2017

Academic Editor: Hideto Kawaratani

Copyright © 2017 Khalil Aloreidi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Oriental cholangiohepatitis (OCH) is a disease characterized by intrabiliary pigment stone formation, resulting in recurrent bouts of cholangitis. OCH is found mostly in Southeast Asia but it is occasionally recognized in Western societies. OCH etiology is largely unknown. We report our experience with a patient who presented with acute cholecystitis. Following laparoscopic cholecystectomy, she developed acute cholangitis due to multiple biliary tree stones. She underwent ERCP to clear the stones from common bile duct. For the intrahepatic stones, she underwent novel hybrid percutaneous endoscopic technique. The procedure resulted in complete clearance of biliary tree stones and resolution of her symptoms. The aim of this case is to increase awareness of this disease when patients from endemic areas present with biliary stones.