Korean J Gastrointest Endosc > Volume 37(1); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;37(1): 71-75.
혈액담즙증을 일으킨 만성 무결석 담낭염 1예
인하대학교 의과대학 *내과학교실, 병리학교실, BK21 사업단
A Case of Chronic Acalculous Cholecystitis Presenting as Hemobilia
Soo Han Kim, M.D.*, Seok Jeong, M.D.*, Don Haeng Lee, M.D.*,‡, Joon Mee Kim, M.D., Kye Sook Kwon, M.D.*, Hyung Gil Kim, M.D.*, Yong Woon Shin, M.D.* and Young Soo Kim, M.D.*
Departments of *Internal Medicine and Pathology, Center for Advanced Medical Education, Brain Korea 21 Project, Inha University College of Medicine, Incheon, Korea
Hemobilia is defined as the presence of blood in the biliary tract and gastrointestinal lumen, which is caused by a communication between the biliary tract and blood vessels. Most cases of hemobilia originating in the gallbladder are related to gallstones, or rarely related to acalculous cholecystitis. A 48-year-old woman presented to the hospital secondary to epigastric pain and melena, and endoscopic retrograde cholangiopancreatography revealed hemobilia originating in her gallbladder. After laparoscopic cholecystectomy was performed, pathologic examination of the gallbladder revealed chronic acalculous cholecystitis. Hence, we report a case of hemobilia caused by chronic acalculous cholecystitis. (Korean J Gastrointest Endosc 2008; 37:71-75)
Key Words: Hemobilia, Acalculous cholecystitis
주요어: 혈액담즙증, 무결석 담낭염
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