췌관석을 동반한 IVa형 담관 낭종 및 췌담관 합류이상 1예
A Case of Choledochal Cyst (Type IVa) and Anomalous Pancreaticobiliary Ductal Union Combined with Pancreatic Duct Stone
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
췌관 결석은 흔히 재발성 췌장염과 연관이 있으며, 췌관 내 단백질 덩어리의 석회화로 발생한다. 그리고 담관 낭종은 비교적 드문 이상으로 복통, 황달 및 복부 종괴로 나타난다. 또한, 췌담관 합류이상은 담관 낭종, 담도계 종양, 췌장염 및 분할 췌장같은 다양한 췌담도계 질병과 연관이 있다. 저자들은 복통을 주소로 내원한 48세 여자에서 췌관 결석이 합병된 담관 낭종, 췌담관 합류이상 1예를 경험하였다. 환자는 내시경 췌관 괄약근 절개술, 담낭과 낭종 절제술 및 Roux-en-Y 담도-공장 문합술을 시행하였다. 이에 문헌 고찰과 함께 보고하는 바이다.
Abstract
Pancreatic duct stones are commonly associated with recurrent pancreatitis. They are believed to develop as a result of the calcification of an intraductal protein plug. A choledochal cyst is a relatively rare anomaly usually presenting with abdominal pain, jaundice and palpable mass. APBDU (anomalous pancreaticobiliary ductal union) is frequently associated with various pancreatobiliary diseases, including choledochal cyst, biliary tumor, pancreatitis and pancreas divisum. We report a 48-year-old woman who presented with right upper quadrant pain with a pancreatic duct stone, a choledochal cyst and APBDU. She underwent endoscopic pancreatic sphincterotomy, a surgical choledochal cyst excision and Roux-en-Y choledochojejunostomy. (Korean J Gastrointest Endosc 2006;33:130-134)
참고문헌 (19)
- "A case of choledochal cyst with anomalous pancreaticobiliary ductal union", 40, pp.1010~1014 (1997)
- "Observations on 205 confirmed cases of acute pancreatitis,recurring pancreatitis,and chronic pancreatitis", 6, pp.545~559 (1965)
- "Choledochal cyst:a concept of etiology", 119, pp.57~62 (1973)
- "Congenital dilatation of the biliary tract:new classification and study with particular reference to anomalous arrangement of the pancreaticobiliary ducts", 12, pp.293~304 (1977)
- "Congenital cystic dilatation of the common bile duct:relationship to anomalous pancreaticobiliary ductal union", 128, pp.571~577 (1977)
- "new etiological concept based on anomalous relationships of the common bile duct and pancreatic bulb", pp.231~240 (1969)
- "Acute pancreatitis associated with anomalous union of the pancreaticobiliary duct system", 13, pp.673~677 (1999)
- "Risk factor for pancreatitis in anomalous union of pancreatobiliary duct with choledochal cyst", 41, pp.309~315 (2003)
- "A peculiar type of anomalous pancreaticobiliary ductal union", 20, pp.145~148 (2000)
- "Dose the type of anomalous arrangement of pancreaticobiliary ducts influence the surgery and prognosis of choledochal cyst", 27, pp.728~731 (1992)
- "Recent advances in pancreaticobiliary maljuction", 9, pp.45~54 (2002)
- "Congenital choledochal cyst,with a report of 2 and analysis of 94 cases", 108, pp.1~30 (1959)
- "Congenital bile duct cyst:classification,operative procedures,and review of thirty-seven cases including cancer arising from choledochal cyst", 134, pp.263~269 (1977)
- "Contributions to the etiology and pathogeny of idiopathic cystic dilatation of the common bile-duct with report of three cases;a new aetiological theory based on supposed unequal epithelial proliferation at the stage of the physiological epithelial occlusion of the primitive choledochus", 30, pp.601~650 (1936)
- "Endoscopic biliary manometry in patients with suspected sphincter of Oddi dysfunction and in patients with cystic dilatation of the bile ducts", 34, pp.367~371 (1989)
- "Choledochal cysts.Oligoganglionosis in the narrow portion of the choledochus", 123, pp.984~986 (1988)
- "Studies on pancreatic stones", pp.125~132, Lohse J
- "Choledochal cyst (type IVA) with anomalous arrangement of the pancreaticobiliary duct (APBD, new Komi type IIIc3) associated with chronic pancreatitis with pancreatolith", 19, pp.123~128 (1999)
- "A case report of choledochal cyst and pancreatic stones", 23, pp.786~790 (1991)