췌관석을 동반한 IVa형 담관 낭종 및 췌담관 합류이상 1예 |
이정윤·양현웅·황규엽·조욱·안주의·차상우·김안나·윤상정·정성희·박영아 |
을지의과대학교 내과학교실 |
A Case of Choledochal Cyst (Type IVa) and Anomalous Pancreaticobiliary Ductal Union Combined with Pancreatic Duct Stone |
Jung Yun Lee, M.D., Hyeon Woong Yang, M.D., Gyu Yup Hwang, M.D., Wook Cho, M.D., Ju Eui Ahn, M.D., Sang Woo Cha, M.D., An Na Kim, M.D., Sang Jeong Yoon, M.D., Sung Hee Jung, M.D. and Young A Park, M.D. |
Department of Internal Medicine, Eulji University School of Medicine, Daejeon, Korea |
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Abstract |
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Pancreatic duct stones are commonly associated with recurrent pancreatitis. They are believed to develop as a result of the calcification of an intraductal protein plug. A choledochal cyst is a relatively rare anomaly usually presenting with abdominal pain, jaundice and palpable mass. APBDU (anomalous pancreaticobiliary ductal union) is frequently associated with various pancreatobiliary diseases, including choledochal cyst, biliary tumor, pancreatitis and pancreas divisum. We report a 48-year-old woman who presented with right upper quadrant pain with a pancreatic duct stone, a choledochal cyst and APBDU. She underwent endoscopic pancreatic sphincterotomy, a surgical choledochal cyst excision and Roux-en-Y choledochojejunostomy. (Korean J Gastrointest Endosc 2006; 33:130134) |
Key Words:
Anomalous pancreaticobiliary ductal union, Choledocal cyst, Pancreatic stone |
주요어:
내시경 췌관 괄약근 절개술, 담관 낭종, 췌관 결석 |
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