The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Acute Pancreatitis after Endoscopic Biopsy in Congenital Pancreatic Duct Anomalies

췌관의 선천 기형 환자에서 위장관 내시경 조직검사 후 발생한 급성 췌장염 1예

  • Jeong, Woo-Shin (Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Hong-Ju (Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Shim, Choong-Nam (Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Heo, Woon-Je (Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Lee, Sang-Hyuk (Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Seol, Ji-Soo (Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Shin, Dong-Suk (Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
  • 정우신 (성균관대학교 의과대학 강북삼성병원 내과) ;
  • 김홍주 (성균관대학교 의과대학 강북삼성병원 내과) ;
  • 심충남 (성균관대학교 의과대학 강북삼성병원 내과) ;
  • 허운제 (성균관대학교 의과대학 강북삼성병원 내과) ;
  • 이상혁 (성균관대학교 의과대학 강북삼성병원 내과) ;
  • 설지수 (성균관대학교 의과대학 강북삼성병원 내과) ;
  • 신동석 (성균관대학교 의과대학 강북삼성병원 내과)
  • Published : 2012.06.01
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Abstract

Congenital anomalies or normal variants of the pancreatic duct are in most cases asymptomatic and are found incidentally while conducting imaging studies (such as a MRCP and a CT scan) for other reasons. The frequency of pancreatic duct variants has been reported to be about 9% of the general population; the most common type is a bifid configuration of the major and minor pancreatic ducts. Though most patients with pancreatic duct variants do not have any symptoms, a small number may develop jaundice or gallstones. By reporting the case of a patient with a variant pancreatic duct who developed acute pancreatitis after undergoing screening endoscopy and biopsy, this study aims to warn of the possible risks of screening endoscopy or biopsy in the second portion of the duodenum.

췌관의 선천성 기형이나 정상 변이는 빈번하게 발견되는 해부학적 변이로 무증상 환자에 있어서 진단이 어려우며 위내시경 시행 시 부십이지장유두가 용종의 형태를 갖는 경우가 있다. 용종과 유사한 모양을 보인 부십이지장유두 부위에서 시행한 조직검사만으로 급성 췌장염이 발생한 1예를 경험하였기에 보고하는 바이다.

Keywords

References

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