Korean J Gastrointest Endosc > Volume 26(4); 2003 > Article
Korean Journal of Gastrointestinal Endoscopy 2003;26(4): 236-239.
폭탄 파편으로 인한 이차성 담도 폐쇄
김정식·박성규·배윤오·김진호·김정념·남효정
을지의과대학 내과학교실
A Case of Biliary Obstruction Secondary to Shrapnel
Jeong Sik Kim, M.D., Seong Kyu Park, M.D., Yun Oh Bae, M.D., Jin Ho Kim, M.D.,
Department of Internal Medicine, Eulji University School of Medicine, Daejeon, Korea
Abstract
Obstructive jaundice primarily results from choledocholithiasis, neoplasm, inflammation and infection such as primary sclerosing cholangitis, postsurgical stricture, AIDS cholangiopathy, extrinsic compression of the biliary trees. However, obstructive jaundice secondary to foreign bodies is rare. Especially, shrapnel induced biliary obstruction is very rare and has never been reported in Korea. We report a patient who had biliary obstruction due to metal shrapnel. He had shrapnel injury 52 year ago during the Korean War. For a long time, he had had no symptoms. He was admitted to our hospital for epigastric pain and jaundice. Abdominal CT scan showed a metallic foreign body in the common bile duct. The patient underwent ERCP, and the shrapnel and several stones were successfully extracted with a basket. (Korean J Gastrointest Endosc 2003;26:236⁣239)
Key Words: ERCP, Foreign body, Shrapnel, Choledocholithiasis
주요어: 역행성 담췌관조영술, 이물질, 금속성 파편, 총담관 결석
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