Night Blindness Induced by Long-term External Bile Drainage / 이화의대지
The Ewha Medical Journal
; : 42-45, 2015.
Article
in Ko
| WPRIM
| ID: wpr-57298
Responsible library:
WPRO
ABSTRACT
Vitamin A deficiency can occur as a result of malnutrition, malabsorption, or poor vitamin metabolism due to liver disease and night blindness might develop as the first symptom. Although there have been foreign reports about night blindness due to vitamin A deficiency which was derived from liver cirrhosis, primary biliary cirrhosis, intestinal bypass surgery or bariatric operation, it is hard to find reports about night blindness after percutaneous transhepatic biliary drainage for external bile drainage. We report a case of night blindness derived from fat-soluble vitamin A deficiency developed after long-term (18 months) external bile drainage for benign biliary stricture occurred after left hepatic lobectomy and hepaticojejunostomy due to the Klatskin tumor (IIIb). Her night blindness and low serum retinol level (0.02 mg/L) was dramatically improved after vitamin A supplementation. We recommend lipid-soluble vitamin supplementation on the case of long-term external bile drainage.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Vitamin A
/
Vitamin A Deficiency
/
Vitamins
/
Bile
/
Jejunoileal Bypass
/
Drainage
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Night Blindness
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Klatskin Tumor
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Constriction, Pathologic
/
Malnutrition
Language:
Ko
Journal:
The Ewha Medical Journal
Year:
2015
Type:
Article