내시경으로 치료한 둔기성 복부 외상에 의한 담관 협착 1예 |
김수현*·이돈행*†·정 석*·이정일*·이진우*·권계숙*·김형길*·신용운*·김영수* |
인하대학교 의과대학 *내과학교실, †BK21 사업단 |
A Case of Biliary Stricture Induced by Blunt Abdominal Trauma Treated Endoscopically |
Soo Hyun Kim, M.D.*, Don Haeng Lee, M.D.*†, Seok Jeong, M.D.*, Jung Il Lee, M.D.*, Jin-Woo Lee, M.D.*, Kye Sook Kwon, M.D.*, Hyung Gil Kim, M.D.*, Yong Woon Shin, M.D.* and Young Soo Kim, M.D.* |
*Department of Internal Medicine and †Center for Advanced Medical Education by Brain Korea 21 Project, Inha University College of Medicine, Incheon, Korea |
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Abstract |
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Traumatic biliary stricture is a secondary occurrence because of bile duct injury induced by trauma or surgery, but the delayed onset of a biliary stricture after blunt abdominal trauma is a rare condition. The patient mainly presents with jaundice after recent trauma. The traumatic biliary stricture is confirmed by complete history taking as well as by the use of endoscopic retrograde cholangiography and abdominal CT. Although surgical management such as bilioenteric anastomosis has been used traditionally for this type of biliary stricture, nonsurgical intervention, especially with balloon dilation or retrograde biliary drainage using duodenoscopy have been recently used and show good treatment outcomes. Herein we report a case of biliary stricture caused by blunt abdominal trauma that was treated endoscopically. |
Key Words:
Common bile duct, Stenosis, Blunt injury |
주요어:
총담관, 협착, 둔기성 손상 |
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