Korean J Gastrointest Endosc > Volume 37(6); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;37(6): 459-464.
담도염과 십이지장 궤양으로 발현된 십이지장 구부로 개구한 총담관 1예
예수병원 소화기내과
A Case of an Anomalous Opening of the Common Bile Duct and Pancreatic Duct into the Duodenal Bulb, and the Patient Presented with Acute Cholangitis and Recurrent Duodenal Ulcer
Myoung Jin Cho, M.D., Mi Na Oh, M.D., Hoon Ki Baek, M.D., Ki Sung Cho, M.D., Ji Hun Kang, M.D., Young Jae Lee, M.D., Ji Woong Kim, M.D. and Jin Woong Cho, M.D.
Department of Gastroenterology, Presbyterian Medical Center, Jeonju, Korea
There are various congenital anomalies of the biliary system, but an ectopic opening of the common bile duct into the duodenal bulb is an extremely rare finding. Despite the recent improvement in the diagnosis and management of pancreatobiliary lesions, the general lack of knowledge and understanding about these variations is undoubtedly responsible for many of the problems that occur during the medical and surgical management of these lesions. We report here on a case of a 65-year-old man who had an ectopic opening of the common bile duct into the duodenal bulb, and this cause acute cholangitis with bile duct sludge, and also recurrent duodenal ulcer. In this case, we used abdomen CT, MRCP, duodenoscopy, EUS and ERCP for making the diagnosis. The cholangitis and duodenal ulcer was improved with medical therapy, and the patient was discharged without any surgical procedure. We report here on this unusual case and we include a review of the relevant medical literature. (Korean J Gastrointest Endosc 2008;37:459-463)
Key Words: Anomalous drainage, Common bile duct, Duodenal bulb, Acute cholangitis, Duodenal ulcer
주요어: 이소성 개구, 총담관, 십이지장 구부, 폐쇄성 황달, 십이지장 궤양
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