부췌관 배액술로 치료한 췌담관 합류 이상과 불완전 분할췌 동반 1예
An anomalous union of the pancreaticobiliary duct that was treated by drainage of the accessory ampulla
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초록
저자들은 반복되는 췌장염의 과거력을 가진, 간헐적 상복통을 주소로 내원한 21세 여자 환자에서 내시경적 역행성 췌담관 조영술에서 담관 낭종이 없는 췌담관 합류이상이 불완전 분할췌와 동반된 것을 부췌관 배액술로 치료하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
An anomalous union of the pancreaticobiliary duct is defined as a condition in which the junction between the common bile duct and the pancreatic duct is located outside the duodenal wall. Therefore, the sphincter of Oddi does not influence the junction; there is always communication between these ducts, and so pancreatic juice flows into the biliary tract through the communication, which may cause pancreaticobiliary diseases. Pancreas divisum is a congenital variant of the pancreatic ductal anatomy, and the mechanism is that the dorsal and ventral pancreatic buds fail to fuse during the gestation. We report here on a 21 year old woman who previously had suffered with recurrent pancreatitis, and an anomalous union of the pancreaticobiliary duct associated with the incomplete type of pancreas divisum was revealed by ERCP. She was treated with minor papilla sphincterotomy and stent insertion.(Korean J Med 72:546-550, 2007)
참고문헌 (19)
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