Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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A Case of Hemobilia due to Gallbladder Carcinoma

혈액 답즙증을 유발한 담낭암 1예

Ahn, Heok-Soo;Mun, Byoung-Sik;Kim, So-Ri;Lee, Soo-Teik;Lee, Seung-Ok
안혁수;문병식;김소리;이수택;이승옥

  • Published : 20030000
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Abstract

Gallbladder carcinoma is an uncommon neoplasm, and hemobilia caused by this disease is rare. We present a case of hemobilia in a patient with gallbladder carcinoma, which was recognized at forward duodenoscopy. A 42-year-old man visited our hospital due to intermmittent right upper quadrant pain. Duodenoscopy revealed blood clots with bile juice around the ampulla of Vater and the second portion of the duodenum. Endoscopic ultrasonography for the gallbladder showed a dumbell-shaped mass with a homogenous internal echogenicity on the body of the gallbladder. MR cholangiography showed a lobulated mass with low-signal intensity in the T1-weighted and T2-weighted images. Subsequently, laparoscopic cholecystectomy with regional lymph node dissection was performed, and adenocarcinoma was confirmed.

담낭암은 드물게 발생하는 악성 질환으로, 혈액 담즙증으로 발현되는 경우의 예는 매우 드물다. 본 증례는 간헐적인 우상복부 동통을 주소로 내원한 42세 남자 환자에서 시행한 상부 위장관 내시경에서 혈액 담즙증 소견이 보여, 이의 원인을 찾기 위해 시행한 내시경 초음파와 자기공명영상에서 용종성 담낭 종괴를 발견하였다. 복강경적 담낭 절제술을 시행하였으며, 절제 조직의 병리 조직 검사에서 담낭선암으로 확진한 바 흥미로운 증례로 생각되어 문헌 고찰과 함께 보고하는 바이다.

Keywords

References

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