총담관 결석을 동반한 이중 담낭 1예
A Case of a Double Gallbladder with Common Bile Duct Stones
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초록
이중 담낭은 드문 선천성 기형으로 빈도는 4,000∼5,000명 중 한명으로 발생한다. 이중 담낭은 담즙정체와 염증을 잘 일으켜 담석, 담낭농양, 담낭장루, 염전, 유두종, 담낭암 등을 잘 동반한다. 저자들은 총담관 결석을 주소로 내원한 환자에서 우연히 발견된 이중 담낭을 경험하였고 이를 문헌 고찰을 통하여 이중 담낭의 분류, 태생학적 발생, 진단 및 치료에 대해 살펴보았다.
Abstract
A double or bilobed gallbladder is a rare congenital anomaly, occurring at a rate of 1/4,000∼5,000. We encountered a case of a double gallbladder that was diagnosed by an endoscopic retrograde cholangiogram. In view of the paucity of this anomaly, we report the case of a patient with a double gallbladder (Y duplication) accompanied by a common bile duct (CBD) stone. We also discuss the characteristics, classification, embryology and treatment of the double gallbladder. (Korean J Gastrointest Endosc 2007;35:369-372)
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