| 간문맥 폐쇄에 동반된 문맥성 담도병증(Portal Biliopathy)에 의한 다발성 간내결석증 1예 |
| 김정섭·이동원·김일영·이승익·김태오·김광하·허 정·강대환·송근암·조 몽·김 석* |
| 부산대학교 의과대학 내과학교실, *방사선학교실 |
| A Case of Multiple Intrahepatic Duct Stones associated with Portal Biliopathy |
| Jung Sup Kim, M.D., Dong Won Lee, M.D., Il Young Kim, M.D., Sung Yik Lee, M.D., Tae Oh Kim, M.D., Gwang Ha Kim, M.D., Jeong Heo, M.D., Dae Hwan Kang, M.D., Geun Am Song, M.D., Mong Cho, M.D. and Suk Kim, M.D.* |
| Departments of Internal Medicine and *Radiology, Pusan National University College of Medicine, Busan, Korea |
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| Abstract |
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"Portal biliopathy" is a terminology used to describe the biliary, ductal and gallbladder wall abnormalities seen in patients with portal hypertension. These changes are predominantly seen in patients with extrahepatic portal vein obstruction (EHPVO), and they include abnormalities (stricture and dilatation) of both the extra and intrahepatic bile ducts, and varices of the gallbladder. The majority of the patients are asymptomatic, but these changes occasionally become significant and give rise to overt obstructive jaundice and they possibly contribute to the development of choledocholithiasis and cholangitis. Asymptomatic patients do not need any treatment. If there is persistent elevation of alkaline phosphatase or ductal dilatation on ultrasonography, ERCP or MRCP can be performed to detect choledocholithiasis or biliary stricture. We present here a 43- year-old male patient for whom portal biliopathy with accompanying multiple intrahepatic duct stones was diagnosed by MRCP and choledocoscopy. (Korean J Gastrointest Endosc 2005;31:358362) |
| Key Words:
Portal biliopathy, Cavernous transformation |
| 주요어:
문맥성 담도병증, 해면체 변형 |
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