• 제목/요약/키워드: Choledochocele

검색결과 3건 처리시간 0.015초

원위부 총담관 결석으로 오인된 결석을 동반한 총담관류 치료 (Choledochocele containing a stone mistaken as a distal common bile duct stone)

  • 곽태영;박창환;엄석현;황홍석;정덕원;서지영;김영성;곽동협
    • Journal of Yeungnam Medical Science
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    • 제32권1호
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    • pp.60-64
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    • 2015
  • 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.