The Korean Journal of Medicine

  • 제80권2호
  • /
  • Pages.208-211
  • /
  • 2011
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
권호 표지

결석을 동반한 담낭염 환자에게서 발견된 이중관 총담관 기형 1예

Case Report of a Double Common Bile Duct with Gallstone Cholecystitis

  • 민경선 (인하대학교 의과대학 내과학교실) ;
  • 박진석 (인하대학교 의과대학 내과학교실) ;
  • 정은선 (인하대학교 의과대학 내과학교실) ;
  • 한지영 (인하대학교 의과대학 내과학교실) ;
  • 이만종 (인하대학교 의과대학 내과학교실) ;
  • 김정수 (인하대학교 의과대학 내과학교실) ;
  • 정석 (인하대학교 의과대학 내과학교실)
  • Min, Kyung-Sun (Department of Internal Medicine, Inha University School of Medicine) ;
  • Park, Jin-Seok (Department of Internal Medicine, Inha University School of Medicine) ;
  • Jeong, Eun-Seon (Department of Internal Medicine, Inha University School of Medicine) ;
  • Han, Jee-Young (Department of Internal Medicine, Inha University School of Medicine) ;
  • Lee, Man-Jong (Department of Internal Medicine, Inha University School of Medicine) ;
  • Kim, Jeong-Soo (Department of Internal Medicine, Inha University School of Medicine) ;
  • Jeong, Seok (Department of Internal Medicine, Inha University School of Medicine)
  • 발행 : 2011.02.01
⟨ 이전 논문 다음 논문 ⟩

초록

간담도계는 해부학적 기형과 변형이 비교적 흔한 편이나 총담관의 기형은 매우 드물다. 총담관의 기형은 수술 시 담관의 손상을 일으킬 수 있으며, 상부위장관의 종양을 비롯하여 담도결석 등 여러 가지 합병증을 일으킬 수 있어서 임상적으로 매우 중요하다. 저자들은 결석을 동반한 담낭염 환자에게서 이중관 총담관 기형 중 type Vb를 발견하여 이에 문헌고찰과 함께 보고한다.

Anatomical variation in the bile duct system is relatively common. Nevertheless, a double common bile duct is an extremely rare asymptomatic variant. Recognition of this anomaly is important clinically, because it can lead to complications, including choledocholithiasis, cholangitis, pancreatitis, and upper gastrointestinal malignancies. A correct diagnosis of this rare anomaly is also important because complications can occur in surgery if the anomaly is not recognized preoperatively. Recently, we encountered a very rare case of a double common bile duct associated with gallstone cholecystitis. A 33-year-old female was admitted to our hospital complaining of epigastric pain after meals. She had single biliary drainage from double common bile ducts with communicating channels. We report the case and review the literature on double common bile ducts.

키워드

참고문헌

  1. Moosman DA. The surgical significance of six anomalies of the biliary duct system. Surg Gynecol Obstet 1970;131:660-665.
  2. Hayes HA, Goldenberg IS, Bishop CC. The developmental basis for bile duct anomalies. Surg Gynecol Obstet 1958;107:447-456.
  3. Teilum D. Double common bile duct: case report and review. Endoscopy 1986;18:159-161. https://doi.org/10.1055/s-2007-1018360
  4. Nagata E, Sakai K, Kinoshita H, Hirohashi K. Choledochal cyst: complications of anomalous connection between the choledochus and pancreatic duct and carcinoma of the biliary tract. World J Surg 1986;10:102-110. https://doi.org/10.1007/BF01656096
  5. Williams C, Williams AM. Abnormalities of the bile ducts. Ann Surg 1995;141:598-606.
  6. Loria LE, Yamamoto K, Eto T, et al. A case of a rare anomaly of the common bile duct associated with an abnormal arrangement of the pancreaticobiliary ductal union. Jpn J Surg 1988;18:718-724. https://doi.org/10.1007/BF02471536
  7. Boyden EA. The anatomy of the choledochoduodenal junction in man. Surg Gynecol Obstet 1957;104:641-652.
  8. Yamashita K, Oka Y, Urakami A, Iwamoto S, Tsunoda T, Eto T. Double common bile duct: a case report and a review of the Japanese literature. Surgery 2002;131:676-681. https://doi.org/10.1067/msy.2002.124025
  9. Goor DA, Ebert PA. Anomalies of the biliary tree: report of a repair of an accessory bile duct and review of the literature. Arch Surg 1972;104:302-309. https://doi.org/10.1001/archsurg.1972.04180030050012
  10. Vesalius A. De humani corporis fabrica libri septem. Lib5, p624, Cap 8, Lc, 1543.
  11. Kae SH, Chun RW, Kang H, et al. A case of common bile duct anomaly. Korean J Med 1989;37:850-855.
  12. Lee JI, Jun KH, Won YS, Chin HM, Kim HJ, Park WB. Ampulla of vater cancer in a patient with double common bile duct. Korean J Hepatobiliary Pancreat Surg 2005;9:189-191.
  13. Saito N, Nakano A, Arase M, Hiraoka T. A case of duplication of the common bile duct with anomaly of the intrahepatic bile duct. Nippon Geka Gakkai Zasshi 1988;89:1296-1301.
  14. Choi E, Byun JH, Park BJ, Lee MG. Duplication of the extrahepatic bile duct with anomalous union of the pancreaticobiliary ductal system revealed by MR cholangiopancreatography. Br J Radiol 2007;80:e150-e154. https://doi.org/10.1259/bjr/50929809
  15. Kim SW, Park DH, Shin HC, et al. Duplication of the extrahepatic bile duct in association with choledocholithiasis as depicted by MDCT. Korean J Radiol 2008;9:550-554. https://doi.org/10.3348/kjr.2008.9.6.550