Korean J Gastrointest Endosc > Volume 31(3); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;31(3): 193-197.
내시경으로 진단 및 치료한 총담관 내 관상 선종 1예
장진혁·이동기·노태웅·김민수·이근만·이세준·이상인·양석우*
연세대학교 의과대학 내과학교실 및 *진단병리학교실
Tubular Adenoma of the Common Bile Duct: Endoscopic Diagnosis and Treatment
Jin Hyuck Chang, M.D., Dong Ki Lee, M.D., Tae Woong No, M.D., Min Su Kim, M.D., Kuen Man Lee, M.D., Se Joon Lee, M.D., Sang In Lee, M.D. and Seok Woo Yang, M.D.*
Departments of Internal Medicine and *Pathology, Yonsei University College of Medicine, Seoul, Korea
Abstract
Biliary adenoma of the common bile duct is a rare disease found in biliary tract encounterd in biliary mass lesion, and it is difficult to differentiate from their malignant counterparts. Symptoms and signs of these tumors can mimic choleliathiasis and malignant tumors. Therefore, this tumor is rarely diagnosed preoperatively. In addition, there has been no reported case of a tubular adenoma of the common bile duct in Korea, until recently. We experienced a case of tubular adenoma of the common bile duct, which was diagnosed and partially resected by percutaneous transhepatic cholangioscopy. The patient was a 84-year-old male who showed abnormal liver function test. Abdominal ultrasonography showed a dilated common bile duct, and a soft tissue was observed on endoscopic retrograde cholangiography. This was initially thought as a stone, but it became partially detachable from the common bile duct during an endoscopic retrograde cholangioscopic basket removal. The mass lesion was partially resected by a percutaneous transhepatic cholangioscopic snare. This resected tissue was confirmed as a tubular adenoma. (Korean J Gastrointest Endosc 2005;31:193⁣197)
Key Words: Common bile duct, Tubular adenoma, Percutaneous transhepatic cholangioscopic polypectomy
주요어: 총담관, 관상 선종, 경피경간 담도내시경적 용종 절제술
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