| 췌장염으로 발현된 유두부 주위 게실을 동반한 총담관류 1예 |
| 조현근 · 홍성일 · 최진희 · 김명환 · 한기준 · 박인서 · 김미성* |
| 관동대학교 의과대학 내과학교실, *영상의학교실 |
| A Case of Choledochocele with Parapapillary Diverticulum Presenting as Pancreatitis |
| Hyeon Geun Cho, M.D., Seong Il Hong, M.D., Jin Yi Choi, M.D., Myoung Hwan Kim, M.D., Ki Joon Han, M.D., In Suh Park, M.D. and Mi Sung Kim, M.D.* |
| Departments of Internal Medicine and *Radiology, Kwandong University College of Medicine, Goyang, Korea |
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| Abstract |
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Choledochocele, classified as choledochal cyst: type III, is a rare cystic or diverticular dilatation of the terminal biliary tree that causes abdominal pain, recurrent pancreatitis, and obstructive jaundice. It is the rarest of the choledochal cysts and has lower malignant potential than any other type of choledochal cyst. Although its anatomic structure does not fit the criteria for pancreatobiliary maljunction, pancreaticobiliary reflux may occur in patients with choledochocele. Herein, we report the case of a 63-year-old woman with recurrent episodes of acute pancreatitis that were caused by a choledochocele with two parapapillary diverticula. She was successfully treated by endoscopic needle-knife sphincterotomy without severe complications and remained asymptomatic at the 6-month follow-up. |
| Key Words:
Choledochocele, Malignant potential, Endoscopic sphincterotomy |
| 주요어:
총담관류, 암, 내시경 유두괄약근 절개술 |
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