Korean J Gastrointest Endosc > Volume 35(5); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;35(5): 364-368.
유두 선암을 동반한 총담관류 1예
이동훈ㆍ김재선ㆍ김지훈ㆍ김은선ㆍ김영진ㆍ박낙순ㆍ이순재ㆍ이범재ㆍ박영태
고려대학교 의과대학 구로병원 소화기내과학교실
A Case of Choledochocele Associated with Papillary Adenocarcinoma
Dong Hun Lee, M.D., Jae Seon Kim, M.D., Ji Hoon Kim, M.D., Eun Sun Kim, M.D., Young Jin Kim, M.D., Nark-Soon Park, M.D., Sun Jae Lee, M.D., Beom Jae Lee, M.D. and Young-Tae Bak, M.D.
Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea
Abstract
Choledochocele is a rare abnormality that's defined as cystic or diverticular dilatation of the common bile duct, and this protrudes into the duodenal lumen. It may cause abdominal pain, recurrent pancreatitis, obstructive jaundice etc. Although its anatomic form does not meet the criteria of pancreaticobiliary malunion, malignant changes of the choledochocele in relation to pancreaticobiliary reflux may occur. It still is regarded as having a lower malignant potential than any other type of choledochal cyst. Only one case has been currently been reported in Korea. We experienced a case of a 71 year-old woman with upper abdominal pain that was caused by a choledochocele with duodenal ampullary adenocarcinoma. She was successfully treated by surgical excison without severe complications. We report here on this case along with a review of the literature. (Korean J Gastrointest Endosc 2007;35:364-368)
Key Words: Choledochal cyst, Choledochocele, Papillary Adenocarcinoma
주요어: 담관낭종, 총담관류, 유두 선암
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