간 좌외하구역 형성부전을 동반한 좌측담낭 1예
A left-sided gallbladder accompanying atrophy of the lateral inferior segment of the liver
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참고문헌
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초록
좌측 담낭이 내장역위증과 무관하게 발생하는 경우는 매우 드물며, 더욱이 좌측 담낭이 간의 부분적 형성부전을 동반하는 경우는 더욱 드물 것으로 생각된다. 저자들은 오랜 기간 동안 만성 B형 간염으로 치료받는 것 이외에는 어떤 췌장담도계 질환도 나타나지 않았던 환자에서 간 3분절 형성부전을 동반한 좌측담낭 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
A left-sided gallbladder occurring in the absence of situs inversus is a rare anomaly. This anomaly was found in a 50-year-old man without any evidence of pancreatobiliary disease. Epigastric transverse ultrasonography showed a normal gallbladder with its fundus extending past the left lateral end of the liver. Abdominal computed tomography (CT) revealed that the gallbladder was located beneath the quadrate lobe (S4) of the liver to the left of the left branch of the portal vein, and S4 was hypertrophied to compensate for atrophy of the lateral inferior segment (S3) of the liver. Magnetic resonance cholangiopancreatography (MRCP) showed that the gallbladder and pancreatobiliary tree were normal, and that the cystic duct joined the common bile duct from the right side making a characteristic U-shaped hairpin bend.
참고문헌 (10)
- Rozsos I, "Left sided gallbladder", Magy Seb, 55, pp.329~330 (2002)
- Nagai M, "Are left sided gallbladders really located on the left side?", Ann Surg, 225, pp.274~280 (1997)
- Dhulkotia A, "Aberrant gallbladder situated beneath the left lobe of liver", HPB, 4, pp.39~42 (2002)
- Colovic R, "Left-sided gallbladder associated with congenital liver cyst", HPB, 8, pp.157~158 (2006)
- Rutkauskas S, "Clinical and anatomical basis for the classification of the structural parts of liver", Medicina, 42, pp.98~106 (2006)
- Jung PM, "A case of anomaly in liver: absence of left hepatic lobe and left sided gall bladder", J Korean Surg Soc, 11, pp.329~332 (1969)
- Lee J, "Left sided gallbladder", J Korean Surg Soc, 30, pp.157~161 (1986)
- Ha DS, "A case of left sided gallbladder", Korean J Gastroenterol, 25, pp.1075~1077 (1993)
- Schachner A, "Anomalies of the gall-bladder and bile-passages: with the report of a double gall-bladder and a floating gall-bladder", Ann Surg, 64, pp.419~433 (1916)
- Lee SJ, "A case of agenesis of the right lobe of the liver", Korean J Intern Med, 8, pp.114~117 (1993)
