Journal of Yeungnam Medical Science
- 제7권2호
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- Pages.197-202
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- 1990
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- 2799-8010(eISSN)
Type II Mirizzi 증후군 1례
A CASE OF TYPE II7 MIRIZZI SYNDROME
-
김홍진
(영남대학교 의과대학 일반외과학교실) ;
- 이주형 (영남대학교 의과대학 일반외과학교실) ;
- 신명준 (영남대학교 의과대학 일반외과학교실) ;
- 권굉보 (영남대학교 의과대학 일반외과학교실) ;
- 장재천 (영남대학교 의과대학 진단방사선과학교실) ;
- 정문관 (영남대학교 의과대학 내과학교실)
-
Kim, Hong-Jin
(Department of Surgery, College of Medicine, Yeungnam University) ;
- Lee, Joo-Hyeong (Department of Surgery, College of Medicine, Yeungnam University) ;
- Shin, Myeong-Jun (Department of Surgery, College of Medicine, Yeungnam University) ;
- Kwun, Koing-Bo (Department of Surgery, College of Medicine, Yeungnam University) ;
- Chang, Jae-Chun (Department of Radiology, College of Medicine, Yeungnam University) ;
- Chung, Moon-Kwan (Department of Internal Medicine, College of Medicine, Yeungnam University)
- 발행 : 1990.12.30
초록
저자들은 최근 4일간의 우측 상복부 동통 및 경미한 황달을 주소로 내원한 71세 남자 환자에서 임상적으로 경피적 간담관조영술, 복부 초음파검사, 간기능 검사, 복강 동맥 조영술을 시행하여 Type II Mirizzi 증후군으로 진단된 1예를 치험하였기에 문헌고찰과 함께 보고하는 바이다.
Mechanical obstruction of the common hepatic duct includes the following causes ; choledocholithiasis, sclerosis, cholangitis, pancreatic carcinoma, cholangiocarcinoma, postoperative stricture, primary hepatic duct carcinoma, enlarged cystic duct lymph nodes, and metastatic nodal involvement of the porta hepatis. Partial mechanical obstruction of the common hepatic duct caused by impaction of stones and inflammation surrounding the vicinity of the neck of the gallbladder had been reported on the "syndrome del conducto hepatico" in 1948 by Mirizzi. Nowadays, this disease was named by Mirizzi syndrome. Mirizzi syndrome is a rare entity of common hepatic duct obstruction that results from an inflammatory response secondary to a gallstone impacted in the cystic duct or neck of the gallbladder. It results from an almost parallel course and low insertion of the cystic duct into the common hepatic duct. In a varient of Mirizzi's syndrome, the cause of the common hepatic duct obstruction was a primary cystic duct carcinoma rather than gallstone disease. A 71-year-old man was admitted with a four-day history of right upper quadrant abdominal pain. Past medical history was unremarkable. On physical examination, the patient had a temperature of