Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
권호 표지

A Case of Childhood Biliary Stricture after Blunt Trauma Managed by Endoscopic Therapy

소아에서 둔상 후에 발생한 담도협착의 내시경적 치료 경험 1례

  • Kim, Kyung-Mo (Department of Pediatrics, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Kim, Seong-Chul (Department of Pediatric Surgery, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Seo, Dong-Wan (Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Yoon, Chong-Hyun (Department of Diagnostic Radiology, University of Ulsan College of Medicine, Asan Medical Center)
  • 김경모 (울산대학교 의과대학 서울중앙병원 소아과) ;
  • 김성철 (울산대학교 의과대학 서울중앙병원 소아외과) ;
  • 서동완 (울산대학교 의과대학 서울중앙병원 내과) ;
  • 윤종현 (울산대학교 의과대학 서울중앙병원 진단방사선과)
  • Received : 1998.08.05
  • Accepted : 1998.09.08
  • Published : 1998.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Isolated injury to the extrahepatic biliary tract following blunt abdominal trauma is rare, and there is little information especially in children regarding the endoscopic diagnosis and management of occult injury to the biliary tract. We experienced a 5-year-old boy who presented with jaundice 16 days after blunt abdominal trauma and was diagnosed as isolated distal common bile duct stricture by ultrasonography of abdomen. We could get more detailed information about the injury by endoscopic retrograde cholangiopancreatography. We could also manage this isolated common bile duct stricture successfully with endoscopic nasobiliary drainage and plastic stent insertion instead of surgical correction. There appeared to be no recurrence of stricture as evidenced by biochemical test and ultrasonography during 2 years of follow up.

저자들은 복부 둔상 후에 발생한 담도 단독 협착을 보인 환아에서 수술적인 치료를 대신하여 내시경적 경비담도 배액술과 플라스틱 스텐트 삽입으로 증상의 호전과 2년의 추적관찰에서 재발을 보이지 않고 있는 1례를 경험하여 문헌고찰과 함께 보고하는 바이다.

Keywords