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The Korean Journal of Medicine 2009;77(3): 338-342.
혈액 담즙증으로 진단된 간내 담관 내 유두모양 담관암 1예
최원정·이상수·노세희·천윤희·유지희·이성구·김명환, , , , , ,
A case of hemobilia caused by an intraductal papillary neoplasm of the bile duct
Won Jung Choi, Shang Soo Lee, Se Hui Noh, Yoon Hee Chun, Ji Hee Yu, Sung Koo Lee, Myung Hwan Kim
ABSTRACT
Intraductal papillary neoplasm of the bile duct (biliary IPN) is a rare disease characterized by multicentric proliferation of adenomatous epithelium within the bile ducts. The common clinical manifestations are recurrent abdominal pain, jaundice, and acute cholangitis. We report a case of hemobilia caused by biliary IPN. A 59-year-old man was referred to our hospital because of hemobilia of unknown origin. Computed tomography and magnetic resonance cholangiography revealed dilatation of the S6 segmental duct with an ovoid-shaped intraductal mass. Percutaneous transhepatic cholangioscopy showed multiple papillary masses with bleeding in the S6 segmental duct. The patient underwent a right lobectomy, and the pathology revealed a well differentiated intraductal papillary adenocarcinoma. (Korean J Med 77:338-342, 2009)
Keywords: Biliary IPN; Hemobilia; Cholangioscopy
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