A Case of Choledochocele with Parapapillary Diverticulum Presenting as Pancreatitis.
- Author:
Hyeon Geun CHO
1
;
Seong Il HONG
;
Jin Yi CHOI
;
Myoung Hwan KIM
;
Ki Joon HAN
;
In Suh PARK
;
Mi Sung KIM
Author Information
1. Department of Internal Medicine , Kwandong University College of Medicine, Goyang, Korea. CHG21@kwandong.ac.kr
- Publication Type:Case Report
- Keywords:
Choledochocele;
Malignant potential;
Endoscopic sphincterotomy
- MeSH:
Abdominal Pain;
Biliary Tract;
Choledochal Cyst*;
Dilatation;
Diverticulum*;
Female;
Follow-Up Studies;
Humans;
Jaundice, Obstructive;
Middle Aged;
Pancreatitis*;
Sphincterotomy, Endoscopic
- From:Korean Journal of Gastrointestinal Endoscopy
2007;34(2):119-124
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Choledochocele, classified as choledochal cyst: type III, is a rare cystic or diverticular dilatation of the terminal biliary tree that causes abdominal pain, recurrent pancreatitis, and obstructive jaundice. It is the rarest of the choledochal cysts and has lower malignant potential than any other type of choledochal cyst. Although its anatomic structure does not fit the criteria for pancreatobiliary maljunction, pancreaticobiliary reflux may occur in patients with choledochocele. Herein, we report the case of a 63-year-old woman with recurrent episodes of acute pancreatitis that were caused by a choledochocele with two parapapillary diverticula. She was successfully treated by endoscopic needle-knife sphincterotomy without severe complications and remained asymptomatic at the 6-month follow-up.
