The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Gallbladder Cancer Associated with a Choledochocele

총담관류에 동반되어 나타난 담낭암 1예

  • Bae, Ki Tak (Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine) ;
  • Choi, Jung Sik (Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine) ;
  • Kim, Young Gu (Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine) ;
  • Son, Han Baek (Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine) ;
  • Yu, Chong Won (Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine) ;
  • Do, Ung Jeong (Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine) ;
  • Park, Na Young (Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine)
  • 배기탁 (인제대학교 의과대학 부산백병원 내과학교실) ;
  • 최정식 (인제대학교 의과대학 부산백병원 내과학교실) ;
  • 김영구 (인제대학교 의과대학 부산백병원 내과학교실) ;
  • 손한백 (인제대학교 의과대학 부산백병원 내과학교실) ;
  • 유종원 (인제대학교 의과대학 부산백병원 내과학교실) ;
  • 도웅정 (인제대학교 의과대학 부산백병원 내과학교실) ;
  • 박나영 (인제대학교 의과대학 부산백병원 내과학교실)
  • Received : 2012.05.07
  • Accepted : 2012.07.26
  • Published : 2013.07.01
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Abstract

Choledochal cysts are congenital lesions involving cystic dilatation of the bile ducts. The choledochocele, the rarest type of choledochal cyst, is a cystic dilatation of the distal common bile duct that protrudes into the duodenum. There have been few reports concerning malignancy in the biliary tree associated with choledochoceles. We recently experienced a case of a choledochocele with gallbladder cancer.

이 증례는 소화 장애와 상복부 동통으로 내원한 환자에서 총담관류 및 담낭암을 진단한 경우이다. 내시경 역행 췌담관 조영술 등에서 총담관류를 진단하였을 때 담낭암을 비롯한 담관계 암의 동반 가능성이 있다는 점에서 이 증례는 시사하는 바가 있다. 더 나아가 총담관류를 발견하였을 때 내시경 초음파나 조직 생검의 시행을 고려하고 정기적인 초음파 또는 전산화 단층촬영 등을 통한 추적관찰이 필요하다.

Keywords

References

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Cited by

  1. A Case of Choledochocele with High-Grade Dysplasia vol.86, pp.6, 2013, https://doi.org/10.3904/kjm.2014.86.6.728