Korean Journal of Gastrointestinal Endoscopy 1997;17(2): 211-219.
증례 : 담도 췌장 ; 내시경적 유두괄약근 절개술로 치료된 담도결석을 동반한 Choledochocele 4예 ( Case Reports : Biliary Tract & Pancreas ; Four Cases of Choledochocele Diagnosed by Endoscopic Retrograde Cholangio - Pancreatography ( ERCP ) and Treated with Endoscopic Sphincterotomy ( EST ) )
김주현, 강동훈, 박현철, 박종재, 김선숙, 김유경, 최덕주, 지현규 (Ju Hyun Kim, Dong Hoon Kang, Hyun Chul Park, Jong Jae Park, Sun Suk Kim, Yu Kyung Kim, Duck Joo Choi and Hyeon Gyoo Ji)
Abstract
Choledochocele is a kind of choledochal cyst and represents a prolapse or herniation of the intramural segment of the distal common bile duct into the duodenal lumen. It is rare congenital anomaly and, easlily overlooked due to non-specific clinical symptoms, signs, and non-characteristic radiologic features. The cause of choledochocele remains uncertain and it was suggested that thete are two distinct types in the pathogenesis of it, i.e., congenital and acquired. Recently, many cases of choledochocele were reported, which diagnosed by ERCP and safely treated with endoscopic unroofing and EST followed by continued observation as well as interval ERCP and/or endoscopic ultrasonography. We present here four cases of symptomaatic choledochoceles that had been managcd by end- oscopic therapy and continucd observation. (Korean J Gastrointest Endosc 17: 211-219, 1997)
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