| 내시경적 역행성 담췌관조영술상 특이한 모양을 보인 담관 Cast 1예 |
| 임병욱·김해경*·채선애·유광렬*·김구영*·권영우*·허병원*·김호정·이성구†·김명환† |
| 성애병원 내과, *광명성애병원 내과, †울산대학교 의과대학 서울아산병원 내과 |
| A Case of Biliary Cast with a Characteristic Finding on ERCP |
| Byoung Uk Lim, M.D., Hae Kyung Kim, M.D.*, Sun Ae Chae, M.D., Kwang Rhyul Rhu, M.D.*, Koo Young Kim, M.D.*, Young Woo Kwon, M.D.*, Byoung Won Huh, M.D.*, Ho Jung Kim, M.D.*, Sung Koo Lee, M.D.† and Myung Hwan Kim, M.D.† |
| Departments of Internal Medicine, Sung Ae Hospital, *Kwang Myung Sung Ae Hospital, and †Asan Medical Center, Ulsan University College of Medicine |
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| Abstract |
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Cast formation of biliary sludge leading to obstruction and cholangitis have been reported in patients who received orthotopic liver transplantation. The pathogenesis of biliary cast after orthotopic liver transplantation appeared to be multifactorial. Cold ischemic damage, immunologic attack to the bile duct and bile stasis may have played a role. On the other hand, only three cases of biliary cast have been reported in non-transplanted patients. We described the successful endoscopic removal of this complication in a 70-year-old man whose biliary sludge aggregated into firm casts occupying the extrahepatic ducts which has been developed after cholecystectomy and segmentectomy for intrahepatic cholangiocarcinoma. We speculated on the hemolysis and prolonged fasing as the initiating events but the exact pathogenesis of biliary cast remains to be clarified. |
| Key Words:
Biliary cast |
| 주요어:
담관 cast |
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