급성 췌장염으로 발현된 우간담관으로 개구하는 담낭관 변형 |
강경필·최원충 |
인제대학교 의과대학 상계백병원 내과 |
A Case of Acute Pancreatitis Associated with Aberrant Cystic Duct Opening into the Right Hepatic Duct |
Kyung-Phil Kang, M.D. and Won-Chung Choi, M.D. |
Department of Internal Medicine, Sanggye-Paik Hospital, Inje Universtiy College of Medicine, Seoul, Korea |
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Abstract |
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Congenital anomalies of the pancreaticobiliary structure may go undetected until adulthood, and they can be the cause of unexplained jaundice, abdominal pain, nausea and vomiting. In addition to such associated disease, as cholangitis, gallstone, cholangiocarcinoma and pancreatitis, recognition of these variant anatomies is clinically important for planning surgery and for preventing inadvertent surgical injury. Although congenital abnormalities and variations of the biliary ducts are common, and variations in the drainage and course of the cystic duct are also frequently seen, variation of the cystic duct opening into the right hepatic duct is rare; further, it is important to avoid erroneous ligation of the hepatic duct during surgery. We report here on a case of aberrant cystic duct opening into the right hepatic duct along with acute pancreatitis. (Korean J Gastrointest Endosc 2006;33:187190) |
Key Words:
Pancreaticobiliary structure, Cystic duct, Anomalies, Variations, Acute pancreatitis |
주요어:
췌담도계, 담낭관, 기형, 이형, 급성 췌장염 |
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