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Korean J Gastrointest Endosc > Volume 21(1); 2000 > Article
Korean Journal of Gastrointestinal Endoscopy 2000;21(1): 581-585.
체외충격파 쇄석술이 유효했던 췌관결석과 췌관협착을 동반한 분할 췌 1예 ( A Case of Pancreas Divisum Associated with a Pancreatic Duct Stone and Stricture for which Extracorporeal Shock Wave Lithotripsy was Effective )
서동완,고관호(Kwan Ho Ko),한상택(Sang Taek Han),이승환(Seung Whan Lee),김준(Jun Kim),김현영(Hyun Young Kim),박경하(Kyoung Ha Park),송희곤(Hee Gon Song),주연호(Yeon Ho Joo),이성구(Sung Koo Lee),김명환(Myung Hwan Kim),민영일(Young Il Min)
Abstract
A 40-year-old man was presented with recurrent abdominal pain. An ERCP (Endoscopic RETROGRADE Cho-langiopancreatography) revealed complete pancreas divisum and pancreatic duct stricture with a stone. Initially, endoscopic stone removal through the minor papilla origice was unsuccessful due to an impacted pancreatic stone associated with a dominant stricture at the dorsal pancreatic duct. Extracorporeal shock wave lithotripsy (ESWL) was performed twice and the impacted pancreatic stone was fragmented. After ESWL, endoscopic stone removal became possible and pancreatic stenting was performed for the correction of the dorsal duct stricture. This case in herein reported in which ESWL was successful in treating an impacted dorsal pancreatic duct stone associated with pancreas divisum. (Korean J Gastrointest Endosc 2000;21:581-585)
Key Words: Pancreas divisum, ESWL, Stricture, Pancreatic stone
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