췌관의 변이를 동반하여 십이지장 구부로 분리 개구한 총담관 1예 |
황상연·조현근·권혁진·고근준·최창환·감창우·한기준·정진호*·김미성† |
관동대학교 의과대학 내과학교실, *외과학교실, †영상의학교실 |
A Case of Anomalous Drainage of the Common Bile Duct into the Duodenal Bulb with Pancreatic Duct Anomaly |
Sang Yon Hwang, M.D., Hyeon Geun Cho, M.D., Hyuk Jin Kwon, M.D., Geun Jun Ko, M.D., Chang Hwan Choi, M.D., Chang Woo Gham, M.D., Ki Joon Han, M.D., Jin Ho Jeong, M.D.* and Mi Sung Kim, M.D.† |
Departments of Internal Medicine, *General Surgery and †Radiology, Kwandong University College of Medicine, Goyang, Korea |
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Abstract |
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The common bile duct normally enters the posteromedial aspect of the second part of the duodenum. However, anomalous drainage of the common bile duct into the stomach, pyloric channel, duodenal bulb and fourth portion of the duodenum has been reported in the literature. An anomalous pancreatic duct, with ectopic drainage of the common bile duct, is particularly rare. Herein, we report the case of a 69-year-old woman who showed pancreatic ductal variation and anomalous drainage of the common bile duct into the duodenal bulb. The patient required a cholecystectomy and choledochoenteric anastomosis to relieve the obstructive jaundice and abdominal pain. (Korean J Gastrointest Endosc 2006;32:352356) |
Key Words:
Anomalous drainage, Common bile duct, Pancreatic duct anomaly, Duodenal bulb |
주요어:
이소성 개구, 총담관, 췌관 기형, 십이지장 구부 |
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