Korean Journal of Gastrointestinal Endoscopy 2003;27(2): 96-99.
자기공명 담도 조영술 및 혈관 조영술이 진단에 유용했던 총담관 정맥류
박진태·김명환·송문희·최정준·이태훈·고은희·김원장·오동렬·이상수·서동완·이성구·민영일
울산대학교 의과대학 서울아산병원 내과
Common Bile Duct Varices: MR Cholangiography and MR Angiography Demonstration
Jin Tae Park, M.D., Myung-Hwan Kim, M.D., Moon Hee Song, M.D., Jung Joon Choi, M.D., Tae Hoon Lee, M.D., Eun Hee Ko, M.D., Won Jang Kim, M.D., Dong Ryoul Oh, M.D., Sang Soo Lee, M.D., Dong Wan Seo, M.D., Sung Koo Lee, M.D. and Young Il Min, M.D.
Department of Internal Medicine, Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea
Abstract
Extrahepatic obstruction of the portal vein, resulting in portal hypertension, may cause extensive collateral circulation at the porta hepatis. These collateral veins may compress and narrow the common bile duct, sometimes causing obstructive jaundice. Until recently, ERCP and percutaneous angiography have been used to diagnose choledochal varix. Now, MR cholangiography is replacing the diagnostic role of ERCP. This imaging has the advantage of obtaining angiography at the same time. We present a 62-year-old male patient, in whom choledochal varix accompanying choledocholithiasis, was diagnosed by MR cholangiography and contrast-enhanced MR angiography. (Korean J Gastrointest Endosc 2003;27:9699)
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