Korean J Gastrointest Endosc > Volume 27(3); 2003 > Article
Korean Journal of Gastrointestinal Endoscopy 2003;27(3): 171-174.
혈액 답즙증을 유발한 담낭암 1예
안혁수·문병식·김소리·이수택·이승옥
전북대학교 의과대학 내과학교실
A Case of Hemobilia due to Gallbladder Carcinoma
Heok Soo Ahn, M.D., Byoung Sik Mun, M.D., So Ri Kim, M.D., Soo Teik Lee, M.D. and Seung Ok Lee, M.D.
Department of Internal Medicine, Chonbuk National University College of Medicine, Jeonju, Korea
Abstract
Gallbladder carcinoma is an uncommon neoplasm, and hemobilia caused by this disease is rare. We present a case of hemobilia in a patient with gallbladder carcinoma, which was recognized at forward duodenoscopy. A 42-year-old man visited our hospital due to intermmittent right upper quadrant pain. Duodenoscopy revealed blood clots with bile juice around the ampulla of Vater and the second portion of the duodenum. Endoscopic ultrasonography for the gallbladder showed a dumbell-shaped mass with a homogenous internal echogenicity on the body of the gallbladder. MR cholangiography showed a lobulated mass with low-signal intensity in the T1-weighted and T2-weighted images. Subsequently, laparoscopic cholecystectomy with regional lymph node dissection was performed, and adenocarcinoma was confirmed.
Key Words: Hemobilia, Gallbladder carcinoma
주요어: 혈액 담즙증, 담낭암
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