Korean J Gastrointest Endosc > Volume 36(3); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;36(3): 181-186.
금속 스텐트 삽입술로 치료한 총담관 막양구조 1예
임윤선ㆍ정우철ㆍ이강문ㆍ이정록ㆍ김진동ㆍ백창렬ㆍ양진모ㆍ진형민*
가톨릭대학교 의과대학 내과학교실, *외과학교실
A Case of the Common Bile Duct Web Treated with a Retrievable Covered Metallic Stent
Yun Sun Im, M.D., Woo Chul Chung, M.D., Kang Moon Lee, M.D., Jeong Rok Lee, M.D., Jin Dong Kim, M.D., Chang Nyol Paik, M.D., Jin Mo Yang, M.D. and Hyung Min Chin, M.D.*
Departments of Internal Medicine and *Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
The web of the common bile duct is an extremely rare condition and is attributed to obstructive jaundice. Most cases have been found incidentally during a surgical procedure, since no specific preoperative clinical manifestations exist. Typically, the web of the biliary tree appears as a slit- or shelf-like radiolucent narrowing on a cholangiography. We experienced a case of the web of the common bile duct with obstructive jaundice in a 62 year- old female who complained of right upper quadrant pain. The patient was diagnosed via an endoscopic retrograde cholangiopancreaticography, and treated by way of a cholecystectomy, membranectomy and T-tube insertion. Four months after the surgical procedure, the patient had a recurrence of the web-like structure in the common bile duct and was subsequently treated successfully using a retrievable covered metallic stent insertion. (Korean J Gastrointest Endosc 2008;36:181-186)
Key Words: Web, Obstructive jaundice, Covered metallic stent
주요어: 담관 막양구조, 폐쇄성 황달, 피막형 금속 스텐트
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