A Case of Anomalous Union of Pancreaticobiliary Drain with Choledochal Cyst and Adenomyomatosis of the Gallbladder.
- Author:
Eun Taek PARK
1
;
Myung Kyo JUNG
;
Seok Woo KANG
;
Jae Ho LEE
;
Chi Sook MOON
;
Jung Myung CHUNG
;
Chang Soo CHOI
;
Bong Ki CHOI
;
Yun Sik JANG
;
Youn Jae LEE
;
Sang Hyuk LEE
;
Sang Young SEOL
;
Young Kil CHOI
;
Hye Kyoung YOON
Author Information
1. Department of Internal Medicine, Inje University,College of Medicine, Paik Hospital, Busan, Korea. euntpark@hanmail.net
- Publication Type:Case Report
- Keywords:
AUPBD;
Choledocal cyst;
Adenomyomatosis of gallbladder
- MeSH:
Adult;
Carcinogenesis;
Cholangiography;
Cholangiopancreatography, Endoscopic Retrograde;
Choledochal Cyst*;
Common Bile Duct;
Gallbladder Neoplasms;
Gallbladder*;
Humans;
Incidence;
Jaundice;
Pancreatic Ducts;
Tomography, X-Ray Computed;
Ultrasonography
- From:Korean Journal of Gastrointestinal Endoscopy
2002;24(5):312-316
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Anomalous union of pancraeticobiliary drain (AUPBD) is uncommon anomaly of the pancreaticobiliary ductal union system. Usually, this anomaly is confirmed by long common channel (>15 mm) at ERCP and is divided into according to relationship between pancreatic duct and common bile duct. Recently several reports showed that AUPBD may be associated with congenital choledochal cyst and gallbladder carcinoma. A 33-year old man was admitted with RUQ pain and jaundice. Ultrasonography, Abdominal CT, ERCP, and PTBD cholangiography showed type I choledochal cyst, AUPBD and focal adenomyomatosis on the gallbladder. Whipple's operation with excision of the choledochal cyst and chloecystectomy were performed for treatment. This clinical experience suggests that high incidence of choledochal cyst in patients with AUPBD and gallbladder adenomyomatosis are may be closely related to the carcinogenesis of gallbladder cancer in patients with AUPBD.
