담관결석을 동반한 총간관 막성구조 1예
A common hepatic duct web in association with choledocholithiasis
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초록
담관의 막성구조는 국내에서 10예 미만이 보고되어 있을 정도로 매우 드문 질환이며 특징적인 내시경적 역행성 담관조영술 소견으로 진단할 수 있는데 원인은 다양하나 일부는 선천적인 것으로 다른 일부는 염증에 의한 후천성 원인이 제시되고 있다. 특징적인 우상복부 통증으로 내원한 31세 여자 환자에서 내시경적 역행성 담관조영술로 담관결석이 동반된 총간관 막성구조로 인한 협착이 진단되어 Roux-en-Y 간공장문합술로 치료한 예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Biliary web is a very rare disease and it can be diagnosed by its characteristic findings on endoscopic retrograde cholangiogram. The etiology of biliary web is variable. We were able to diagnose a common hepatic duct web in association with choledocholithiasis by performing endoscopic retrograde cholangiogram and operation. A 31-year-old woman visited our emergency room because of colicky right upper abdominal pain she had experienced for several hours. The endoscopic retrograde cholangiogram showed web-like stricture and stone at the common hepatic duct. She was treated by cholecystectomy with Roux-en-Y hepaticojejunostomy. We report here on this rare case along with a review of the literature.(Korean J Med 72:536-539, 2007)
참고문헌 (14)
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