Choledochocele containing a stone mistaken as a distal common bile duct stone / 영남의대학술지
Yeungnam University Journal of Medicine
; : 60-64, 2015.
Article
in Ko
| WPRIM
| ID: wpr-28196
Responsible library:
WPRO
ABSTRACT
A choledochocele is an expanded sac of the duodenal side of the distal common bile duct (CBD), and is categorized as a type III choledochal cyst. Unlike other choledochal cysts, it can be easily overlooked because of its very low prevalence, non-specific clinical symptoms, and lack of distinctive radiological findings. However, a patient having a repeated pancreaticobiliary disorder with an unknown origin, frequent abdominal pain after cholecystectomy, or repeated non-specific gastrointestinal symptoms can be suspected as having a choledochocele, and a more accurate diagnosis can be achieved via endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound. Because it rarely becomes malignant, a choledochocele can be treated via endoscopic sphincterotomy (EST) and surgical treatment. The authors were able to diagnose choledochocele accompanied by a stone in a patient admitted to the authors' hospital due to cholangitis and pancreatitis. The patient's condition was suspected to have been caused by a distal CBD stone detected via multiple detector computed tomography and ERCP, and was successfully treated via EST.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Pancreatitis
/
Cholecystectomy
/
Gallstones
/
Abdominal Pain
/
Choledochal Cyst
/
Cholangitis
/
Prevalence
/
Ultrasonography
/
Cholangiopancreatography, Endoscopic Retrograde
/
Sphincterotomy, Endoscopic
Type of study:
Diagnostic_studies
/
Prevalence_studies
Limits:
Humans
Language:
Ko
Journal:
Yeungnam University Journal of Medicine
Year:
2015
Type:
Article