@article{oai:uoeh-u.repo.nii.ac.jp:00000978,
 author = {宮川, 恒一郎 and 仲野, 優 and 米田, 晃敏 and 草永, 真志 and 大江, 晋司 and 本間, 雄一 and 柴田, 道彦 and 原田, 大 and Miyagawa, Koichiro and Nakano, Yu and Yoneda, Akitoshi and Kusanaga, Masashi and Oe, Shinji and Honma, Yuichi and Shibata, Michihiko and Harada, Masaru},
 issue = {4},
 journal = {産業医科大学雑誌, Journal of UOEH},
 month = {Dec},
 note = {An 89-year-old man with polycystic liver disease (PCLD) received uncovered self-expandable metallic stent (SEMS) placement above the papilla for malignant biliary obstruction caused by cholangiocarcinoma. He developed cholangitis ten months later due to SEMS occlusion caused by tumor ingrowth, and 2 plastic biliary stents were placed inside the SEMS across the papilla. Fever and right costal pain appeared two weeks after reintervention. Suspecting hepatic cyst infection based on imaging studies, percutaneous transhepatic cyst drainage was performed. Increased inflammatory cells and the presence of pathogens in the cyst fluid led to a definitive diagnosis of hepatic cyst infection. Following drainage, the hepatic cyst shrank with resolution of the symptoms. SEMS occlusive-related cholangitis or retrograde infection due to duodenal-biliary reflux after reintervention was considered as the cause of the hepatic cyst infection. Careful clinical and imaging evaluation should be performed in patients with PCLD undergone biliary stenting, because cyst infection may occur following stent occlusion or subsequent biliary reintervention.},
 pages = {353--358},
 title = {胆道ステント閉塞を契機に肝嚢胞感染をきたした多発性肝嚢胞の1例},
 volume = {44},
 year = {2022},
 yomi = {ミヤガワ, コウイチロウ and ナカノ, ユウ and ヨネダ, アキトシ and クサナガ, マサシ and オオエ, シンジ and ホンマ, ユウイチ and シバタ, ミチヒコ and ハラダ, マサル}
}