Journal of Yeungnam Medical Science
- 제32권1호
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- Pages.60-64
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- 2015
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- 2799-8010(eISSN)
DOI QR Code
원위부 총담관 결석으로 오인된 결석을 동반한 총담관류 치료
Choledochocele containing a stone mistaken as a distal common bile duct stone
- 곽태영 (곽병원 내과) ;
- 박창환 (곽병원 내과) ;
- 엄석현 (곽병원 내과) ;
- 황홍석 (곽병원 내과) ;
- 정덕원 (곽병원 내과) ;
- 서지영 (곽병원 내과) ;
- 김영성 (곽병원 내과) ;
- 곽동협 (곽병원 내과)
- Kwak, Tae Young (Department of Internal Medicine, Kwak's Hospital) ;
- Park, Chang Hwan (Department of Internal Medicine, Kwak's Hospital) ;
- Eom, Seok Hyeon (Department of Internal Medicine, Kwak's Hospital) ;
- Hwang, Hong Suk (Department of Internal Medicine, Kwak's Hospital) ;
- Chung, Duk Won (Department of Internal Medicine, Kwak's Hospital) ;
- Seo, Ji Young (Department of Internal Medicine, Kwak's Hospital) ;
- Kim, Yeong Sung (Department of Internal Medicine, Kwak's Hospital) ;
- Kwak, Dong Hyup (Department of Internal Medicine, Kwak's Hospital)
- 투고 : 2014.06.11
- 심사 : 2014.07.29
- 발행 : 2015.06.30
초록
A choledochocele is an expanded sac of the duodenal side of the distal common bile duct (CBD), and is categorized as a type III choledochal cyst. Unlike other choledochal cysts, it can be easily overlooked because of its very low prevalence, non-specific clinical symptoms, and lack of distinctive radiological findings. However, a patient having a repeated pancreaticobiliary disorder with an unknown origin, frequent abdominal pain after cholecystectomy, or repeated non-specific gastrointestinal symptoms can be suspected as having a choledochocele, and a more accurate diagnosis can be achieved via endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound. Because it rarely becomes malignant, a choledochocele can be treated via endoscopic sphincterotomy (EST) and surgical treatment. The authors were able to diagnose choledochocele accompanied by a stone in a patient admitted to the authors' hospital due to cholangitis and pancreatitis. The patient's condition was suspected to have been caused by a distal CBD stone detected via multiple detector computed tomography and ERCP, and was successfully treated via EST.