Korean J Gastrointest Endosc > Volume 30(3); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;30(3): 178-181.
담도 결석과 동반된 혈액 담즙증 2예
김정기·고광현·박 혁·최홍엽·홍성표·황성규·박필원·임규성
포천중문의과대학교 내과학교실
Two Cases of Hemobilia Associated with Common Bile Duct Stones
Jeong Ki Kim, M.D., Kwang Hyun Ko, M.D., Hyeuk Park, M.D., Hong Youp Choi, M.D., Sung Pyo Hong, M.D., Seong Gyu Hwang, M.D., Pil Won Park, M.D. and Gyu Sung Rim, M.D.
Department of Internal Medicine, Pochon CHA University College of Medicine, Seongnam, Korea
Abstract
Hemobilia is a disease caused by injury or conditions that cause the abnormal communication between intrahepatic blood vessels and biliary tract, resulting in leakage of blood into the biliary tract. In the past, trauma had been the most common cause of hemobilia. However, with the increasing invasive procedures in the hepatobiliary tract, iatrogenic origin has become the major cause of hemobilia. Also, non-traumatic etiologies of hemobilia include vascular malformation such as aneurysm, gallstone, inflammation, biliary tumor, hepatocellular carcinoma and coagulopathy. Among these non-traumatic etiologies, choledocholithiasis is a rare cause of hemobilia. The authors have experienced two cases of hemobilia caused by choledocholithiasis, which was diagnosed by abdominal ultrasonography, abdominal CT and duodenoscopy. Both patients were treated by the endoscopic sphincterotomy and stone removal with basket. (Korean J Gastrointest Endosc 2005;30:178⁣182)
Key Words: Hemobilia, Choledocholithiasis
주요어: 혈액 담즙증, 담관 결석
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