담관염과 석회화 담낭이 동반된 석회유 담즙 1예
A Case of Limy Bile Associated with Cholangitis and Calcified Gallbladder
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초록
석회유 담즙은 탄산석회의 침강이 특징이며, 발생원인은 정확히 밝혀져 있지 않았지만 담낭관의 폐쇄와 동반되는 경우가 많다. 국내에서는 3예가 보고되었다. 주로 담낭에 발생하며 드물게 담관염을 동반하거나 석회화 담낭이 병발한다. 저자들은 간내담관, 담낭, 간외담관에 발생하고 석회화 담낭이 합병된 석회유 담즙 1예를 경험하였다. 환자는 내시경 유두괄약근 절개술 후에 복강경 담낭절제술로 치료를 받았다. 이에 문헌 고찰과 함께 보고하는 바이다.
Abstract
Limy bile is characterized by excessive precipitation of calcium carbonate, and generally preceded by gallbladder obstruction. Three case reports have been found in the domestic literatures. It is rare that limy bile syndrome associates cholangitis or calcified gallbladder. We report the case of a patient with limy bile, located in the gallbladder, common bile duct, and intrahepatic duct, with association of calcified gallbladder. This case showed characteristic radiologic and endoscopic findings. The patient was treated by endoscopic sphincterotomy and laparoscopic cholecystectomy.
참고문헌 (17)
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