초음파 내시경 검사가 원인진단에 크게 기여했던 급성 재발성 췌장염 1예 |
문성훈·김명환·김규표·김형수·송진우·형철호·박진태·양동훈·김기덕·이윤선·이상수·서동완·이성구·민영일 |
울산대학교 의과대학 서울아산병원 내과 |
A Case of Acute Recurrent Pancreatitis Whose Etiology was Diagnosed by Endoscopic Ultrasonography |
Sung Hoon Moon, M.D., Myung-Hwan Kim, M.D., Kyu-pyo Kim, M.D., Hyeong-Su Kim, M.D., Jin Woo Song, M.D., Chul Ho Hyung, M.D., Jin Tae Park, M.D., Dong Hoon Yang, M.D., Gi Deog Kim, M.D., Yoon Seon Lee, M.D., Sang Soo Lee, M.D., Dong Wan Seo, M.D., Sung Koo |
Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea |
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Abstract |
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Acute recurrent pancreatitis results most commonly from gallstone disease. Although transabdominal ultrasound is a common procedure for evaluating biliary tract, it may not be effective in minilithiasis. We here report a case of acute recurrent pancreatitis, in which endoscopic ultrasonography revealed minilithiasis in the gallbladder with a review of the literature. A 57-year-old woman had suffered from idiopathic recurrent pancreatitis four times for the past 4 months. While transabdominal ultrasonography and abdominal computerized tomography revealed no evidence of bliary stones, but EUS exhibited minilithiasis in the gallbladder. After laparoscopic cholecystectomy, no further events of pancreatitis happened. |
Key Words:
Recurrent pancreatitis, Endoscopic ultrasonography, Minilithiasis |
주요어:
재발성 췌장염, 초음파 내시경, 미세 담석 |
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