무담석 담낭염에 의해 유발된 혈액담즙증 1예 |
오현아ㆍ김태년ㆍ이은주ㆍ이형철ㆍ김준환ㆍ장병익ㆍ이헌주 |
영남대학교 의과대학 내과학교실 |
A Case of Hemobilia Caused by Chronic Acalculous Cholecystitis |
Hyun A Oh, M.D., Tae Neyun Kim, M.D., Eun Ju Lee, M.D., Hyung Chul Lee, M.D., Jun Hwan Kim, M.D., Byung Ik Chang, M.D. and Heon Ju Lee, M.D. |
Department of Internal Medicine, Yeungnam University Colleage of Medicine, Daegu, Korea |
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Abstract |
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Hemobilia is a status of bleeding into the biliary tract and occurs when the communication between the biliary tract and blood vessels was injured. Almost all the hemobilia orginated in the gallbladder were related to gallstones and rarely it was reported to be associated with acalculous cholecystitis. A 61-year-old man visited due to continuous right upper quadrant pain and endoscopy revealed oozing blood around the ampulla of Vater. Eighteen days later, laparoscopic cholecystectomy was performed and pathologic examination of the resected gallbladder disclosed acalculous cholecystitis and no stone was found. We report a case of hemobilia with acalculous cholecystitis. (Korean J Gastrointest Endosc 2005;31:198203) |
Key Words:
Hemobilia, Acalculous cholecystitis |
주요어:
혈액담즙증, 무담석 담낭염 |
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