바터 팽대부 선종이 동반된 담도 내 이물질로 인한 총담도 결석 1예 |
박주현·이선미·오준혁·황상연·이성훈·김태오·이성욱·박원일·김 석*·김광하·허 정·강대환·송근암·조 몽 |
부산대학교 의과대학 내과학교실, *진단방사선과학교실 |
A Case of Common Bile Duct Stone Caused by Foreign Body in Patient with Adenoma of the Ampulla of Vater |
Ju Hyun Park, M.D., Sun Mi Lee, M.D., Jun Hyok Oh, M.D., Sang Youn Hwang, M.D., Seong Hun Lee, M.D., Tae Oh Kim, M.D., Seong Ook Lee, M.D., Won Il Park, M.D., Suk Kim, M.D.*, Gwang Ha Kim, M.D., Jeong Heo, M.D., Dae Hwan Kang, M.D., Geun Am Song, M.D. and |
Departments of Internal Medicine and *Diagnostic Radiology, Pusan National University College of Medicine, Busan, Korea |
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Abstract |
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Choledocholithiasis caused by a foreign body is rare. The most common type of foreign body in the common bile duct is a residual object from previous surgery such as a metal clip or suture material. Foreign body may enter the biliary system after choledochointestinal anastomosis or endoscopic sphincterotomy. Rarely, penetrating missile fragment or gunshot shrapnel account for another type of foreign body. We experienced a case of common bile duct (CBD) stone caused by foreign meterial in 75-years-old women who had a plant foreign body in the common bile duct. She had no past history of abdominal surgery or penetrating trauma. The foreign body and stone were successfully extracted with Dormia basket after the endoscopic sphincterotomy. (Korean J Gastrointest Endosc 2005;30: 114117) |
Key Words:
Foreign body, Choledocholithiasis, Adenoma of the ampulla of vater |
주요어:
총담도 결석, 바터 팽대부 선종, 이물질 |
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