담관 낭종 및 췌담관 결석을 동반한 췌담관 합류 이상 1예
A Pancreaticobiliary Maljunction (New Komi Classification, Type IIIc3) with a Choledochal Cyst, Common Bile Duct Stones and Pancreatic Duct Stones
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
췌담관 합류 이상은 십이지장 벽 외부에서 담관과 췌관의 합류가 발생하는 선천성 기형이다. 이로 인해 오디(Oddi) 괄약근의 지배를 받지 않아 췌액과 담즙의 역류가 일어나 담관 낭종, 담낭암, 담도암, 담석 그리고 췌장염 등이 발생한다고 알려져 있다. 공통관의 길이가 대부분의 경우 길어져 있는 소견이 보이지만, 소수의 환자에서는 췌관과 담관의 합류가 더 복잡하게 연결되어 있다. 본 증례는 39세 여자 환자로 우상복부 통증으로 내원하여 검사에서 담관 낭종 및 췌담관 결석을 동반한 췌담관 합류 이상이 발견되어 문헌고찰과 함께 보고하는 바이다.
Abstract
A pancreaticobiliary maljunction (PBM) is synonymous with abnormal union of the pancreaticobiliary ducts (AUPBD), anomalous arrangement of the pancreaticobiliary ductal system, etc. PBM is a congenital anomaly defined as a union of the pancreatic and biliary ducts located outside the duodenal wall. Free reflux of pancreatic juice up to the biliary tree and/or bile up to the pancreatic duct occurs. Accordingly, various pathologic conditions occur in the biliary tract and pancreas. Although the common channel is long in most cases, some patients have more complicated junctions of the pancreatic and bile ducts. We report a case of PBM with choledochal cyst and stones of the pancreaticobiliary duct in a 39 year-old woman.
참고문헌 (19)
- "Choledochal cyst associated with anomalous union of pancreaticobiliary duct has a more grave clinical course than choledochal cyst alone", 14, pp.1~8 (1999)
- "Prospective study of the detection of anomalous connections of pancreaticobiliary ducts during routine medical examinations", 43, pp.1238~1245 (1996)
- "Anomalous junction of pancreaticobiliary duct without congenital choledochal cyst:a possible risk factor for gallbladder cancer", 82, pp.20~24 (1987)
- "Carcinogenesis in the biliary system associated with APDJ", 6, pp.218~222 (1999)
- "Normal structure, variations, and anomalies of the pancreaticobiliary ducts of Koreans: a nationwide cooperative prospective study.", 55, pp.889~896 (2002)
- "Congenital cystic dilatation of the common bile duct;relationship to anomalous pancreaticobiliary ductal union", 128, pp.571~577 (1977)
- "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)
- "Pancreaticobiliary maljunction:etiologic concepts based on radiologic aspects", 53, pp.614~619 (2001)
- "Incidence of anomalous union of pancreaticobiliary ductal system in biliary cancer", 44, pp.1580~1583 (1997)
- "Association of gallbladder cancer and anomalous union of pancreaticobiliary duct", u(zawa t), pp.1258~1265
- "Pancreaticobiliary ductal union", 31, pp.1144~1149 (1990)
- "Diagnosis of pancreaticobiliary maljunction: the value of endoscopic ultrasonography. In:", pp.75~84 (2002)
- "Endoscopic ultrasonography for diagnosis anomalous pancreaticobiliary junction", 45, pp.261~267 (1997)
- "Pancreaticobiliary maljunction in adults: clinical problems and surgical treatment. In:", 117, pp.117~123 (2002)
- "Nationwide survey of cases of choledochal cyst analysis of coexistent anomalies complications and surgical treatment in 645 cases", pp.69~73
- "Pancreaticobilary maljunction: its etiological role in biliary disease. In:", pp.197~208 (2002)
- "Pancreaticobiliary maljunction: clinical problems and surgical treatment. In", pp.117~123 (2002)
- "췌담관 합류 이상과 담관 낭종이 동반된 담낭암 1예", 20, pp.137~140 (2000)
- "분할 췌와 동반된 췌담관 합류 이상 1예", 20, pp.141~144 (2000)