The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case Report of Bile Duct Duplication Arising from the Hepatic Hilum

담낭염 환자에 동반된 간문부에서 기시하는 이중담관 기형 1예

  • Gong, Eun-Jeong (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Jang, Eun-Kyung (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Yoon, Yong-Hoon (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Ahn, Seong-Hee (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Hyun, Yil-Sik (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Hwang, Dae-Wook (Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Sung-Koo (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine)
  • 공은정 (울산대학교 의과대학 서울아산병원 내과) ;
  • 장은경 (울산대학교 의과대학 서울아산병원 내과) ;
  • 윤용훈 (울산대학교 의과대학 서울아산병원 내과) ;
  • 안성희 (울산대학교 의과대학 서울아산병원 내과) ;
  • 현일식 (울산대학교 의과대학 서울아산병원 내과) ;
  • 황대욱 (울산대학교 의과대학 서울아산병원 외과) ;
  • 이성구 (울산대학교 의과대학 서울아산병원 내과)
  • Published : 2012.04.01
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Abstract

Anatomic variation in the hepatobiliary tract is relatively common, although bile duct duplication is rare. Detection of biliary tract variation is important because it is closely related to complications such as cholangitis, cholecystitis, pancreatitis, stone formation, and gastrointestinal tract malignancy. Therefore, preoperative imaging and a high index of suspicion are required to make an accurate diagnosis of a biliary tract anomaly. A 44-year-old woman presented with a 2-year history of epigastric pain after eating a meal and gallbladder sludge with chronic cholecystitis. The presumed diagnosis was gallbladder duplication. However, during surgery it was observed that the tubular structure was parallel with the fissure for the ligamentum venosum and ended at the lesser curvature of the stomach. The pathologic diagnosis was bile duct duplication. We report a case of a unique variant of bile duct duplication arising from the hepatic hilum.

간담도계는 해부학적 변형과 기형이 흔한 편이나 이중관 기형은 드물다. 특히 간문부에서 기시하는 이중담관은 현재까지 보고된 이중관 기형의 형태 분류에 속하지 않으며 영상학적 검사에서 이중담낭으로 오인되기 쉽다. 저자들은 증상이 있는 만성 담낭염 환자에서 동반된 간문부로부터 기시하는 이중담관 기형 증례를 문헌고찰과 함께 보고한다.

Keywords

References

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