Korean J Gastrointest Endosc > Volume 31(4); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;31(4): 268-272.
총간관의 종괴로 나타난 간흡충증 1예
황철웅·임병욱·류 웅·김종훈·박혜연·박경일·정성문·김경아·양전호·이준성·문영수·전영빈*·조상형·이우진
인제대학교 의과대학 일산백병원 내과학교실, *위더스내과, 국립암센터 간암센터
A Case of Clonorchiasis Presenting as Common Hepatic Duct Mass
Choul Woong Hwang, M.D., Byung Wook Lim, M.D., Ung Ryu, M.D., Jong Hoon Kim, M.D., Hye Yeon Park, M.D., Kyung Il Park, M.D., Sung Moon Jung, M.D., Kyung-Ah Kim, M.D., Jeon Ho Yang, M.D., June Sung Lee, M.D., Young Soo Moon, M.D., Young Bin Jeon, M.D.*, Sa
Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine, *Withus Medical Clinic, Center for Liver Cancer, National Cancer Center, Goyang, Korea
The liver fluke, Clonorchis sinensis is an important human parasite and is endemic in Eastern Asia including Korea, China, and Japan. Patients acquire the infestation by eating raw or undercooked freshwater fish. Radiologic examinations usually reveal dilated peripheral intrahepatic bile ducts and normal extrahepatic bile duct. The diagnosis of clonorchiasis may sometimes be difficult and a presentation as an obstructive mass at the common hepatic duct is a rare event. Here we report a case of clonorchiasis of 54-year- old woman presented with epigastric pain. Endoscopic retrograde cholangiography revealed a mass at the common hepatic duct with dilatation of the intrahepatic ducts mimicking cholangiocarcinoma. Using an endoscopic basket, muddy, sludge-like materials were extracted through the papillary orifice. We report this case with a review of literatures. (Korean J Gastrointest Endosc 2005;31:268⁣272)
Key Words: Clonorchiasis, Cholangiocarcinoma, Bile duct obstruction
주요어: 간흡충증, 총간관폐쇄, 담관암종
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