The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Case Report of a Double Common Bile Duct with Gallstone Cholecystitis

결석을 동반한 담낭염 환자에게서 발견된 이중관 총담관 기형 1예

  • Min, Kyung-Sun (Department of Internal Medicine, Inha University School of Medicine) ;
  • Park, Jin-Seok (Department of Internal Medicine, Inha University School of Medicine) ;
  • Jeong, Eun-Seon (Department of Internal Medicine, Inha University School of Medicine) ;
  • Han, Jee-Young (Department of Internal Medicine, Inha University School of Medicine) ;
  • Lee, Man-Jong (Department of Internal Medicine, Inha University School of Medicine) ;
  • Kim, Jeong-Soo (Department of Internal Medicine, Inha University School of Medicine) ;
  • Jeong, Seok (Department of Internal Medicine, Inha University School of Medicine)
  • 민경선 (인하대학교 의과대학 내과학교실) ;
  • 박진석 (인하대학교 의과대학 내과학교실) ;
  • 정은선 (인하대학교 의과대학 내과학교실) ;
  • 한지영 (인하대학교 의과대학 내과학교실) ;
  • 이만종 (인하대학교 의과대학 내과학교실) ;
  • 김정수 (인하대학교 의과대학 내과학교실) ;
  • 정석 (인하대학교 의과대학 내과학교실)
  • Published : 2011.02.01
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Abstract

Anatomical variation in the bile duct system is relatively common. Nevertheless, a double common bile duct is an extremely rare asymptomatic variant. Recognition of this anomaly is important clinically, because it can lead to complications, including choledocholithiasis, cholangitis, pancreatitis, and upper gastrointestinal malignancies. A correct diagnosis of this rare anomaly is also important because complications can occur in surgery if the anomaly is not recognized preoperatively. Recently, we encountered a very rare case of a double common bile duct associated with gallstone cholecystitis. A 33-year-old female was admitted to our hospital complaining of epigastric pain after meals. She had single biliary drainage from double common bile ducts with communicating channels. We report the case and review the literature on double common bile ducts.

간담도계는 해부학적 기형과 변형이 비교적 흔한 편이나 총담관의 기형은 매우 드물다. 총담관의 기형은 수술 시 담관의 손상을 일으킬 수 있으며, 상부위장관의 종양을 비롯하여 담도결석 등 여러 가지 합병증을 일으킬 수 있어서 임상적으로 매우 중요하다. 저자들은 결석을 동반한 담낭염 환자에게서 이중관 총담관 기형 중 type Vb를 발견하여 이에 문헌고찰과 함께 보고한다.

Keywords

References

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