A Case of Common Bile Duct Stone with Delayed Bleeding after Endoscopic Papillary Sphincterotomy

내시경적 유두 괄약근 절개술 후 지연성 출혈을 보인 총담관 결석 치험 1례

  • Lee, Chang-Hee (Department of Pediatrics, College of Medicine, The Catholic University of Korea) ;
  • Lee, Yoon-Kyung (Department of Pediatrics, College of Medicine, The Catholic University of Korea) ;
  • Chae, Hyun-Seok (Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Kim, Dong-Un (Department of Pediatrics, College of Medicine, The Catholic University of Korea) ;
  • Kim, Young-Hoon (Department of Pediatrics, College of Medicine, The Catholic University of Korea) ;
  • Han, Seung-Hoon (Department of Pediatrics, College of Medicine, The Catholic University of Korea) ;
  • Lee, Ik-Jun (Department of Pediatrics, College of Medicine, The Catholic University of Korea)
  • 이창희 (가톨릭대학교 의과대학 소아과학교실) ;
  • 이윤경 (가톨릭대학교 의과대학 소아과학교실) ;
  • 채현석 (가톨릭대학교 의과대학 내과학교실) ;
  • 김동언 (가톨릭대학교 의과대학 소아과학교실) ;
  • 김영훈 (가톨릭대학교 의과대학 소아과학교실) ;
  • 한승훈 (가톨릭대학교 의과대학 소아과학교실) ;
  • 이익준 (가톨릭대학교 의과대학 소아과학교실)
  • Received : 2000.07.15
  • Accepted : 2000.07.19
  • Published : 2000.09.30

Abstract

Common bile duct stones are an unusual occurrence in children. Endoscopic retrograde cholangiopancreaticography and endoscopic papillary sphincterotomy are excellent tool for diagnosis and therapy. Bleeding after endoscopic papillary sphincterotomy occurs in approximately 0.5~12% of procedures. We experienced a case of common bile duct stone in 5-year-old boy. After endoscopic papillary sphincterotomy, the stone was passed. 5 days after the procedure bleeding occurred, but it was controlled spontaneously.

Keywords