Korean Journal of Gastrointestinal Endoscopy 2004;28(2): 107-111.
담관 낭종 및 췌담관 결석을 동반한 췌담관 합류 이상 1예
김형욱·박원일·정종윤·박진홍·이동현·김보석·허 정·김광하·강대환·송근암·조 몽·양웅
부산대학교 의과대학 내과학교실
A Pancreaticobiliary Maljunction (New Komi Classification, Type IIIc3) with a Choledochal
Hyong Wook Kim, M.D., Won Il Park, M.D., Jong Yun Cheong, M.D., Jin Hong Park, M.D.,
Department of Internal Medicine, Pusan National University College of Medicine, Busan,
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. (Korean J Gastrointest
Endosc 2004; 28:107111)
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