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Original Article
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Korean J Med. 2007;73(3):890-894.
- 증례 : 궤양성 대장염 환자에서 MRCP로 진단한 원발성 경화성 담관염 1예
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류지원&#;박영숙&#;김성환&#;송문희&#;이한효&#;신상윤&#;이준석, , , , , ,
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- A case of ulcerative colitis combined with primary sclerosing cholangitis, diagnosed by MR cholangiography
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Ji Won Ryou, Young Sook Park, Seong Hwan Kim, Mun Hee Song, Han Hyo Lee, Sang Yoon Shin, Jun Seok Lee
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경희대학교 의과대학 순환기내과학교실
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- Abstract
- Ulcerative colitis (UC) is frequently associated with many extraintestinal manifestations. Among them, primary
sclerosing cholangitis (PSC) shows a 1～5% incidence in patients with UC. PSC is a progressive inflammatory
disease affecting the extrahepatic and intrahepatic bile ducts, characteristic radiologic and histologic findings. PSC
is not correlated with the course of UC. We report a 25-year-old man with UC combined with PSC. He was
diagnosed with UC 6 years ago. Four years ago, ERCP was done due to his abnormal liver function test (LFT),
but it showed no abnormal findings. At this time, he again presented with fatigue and an abnormal LFT.
For investigating the extrahepatic and intrahepatic bile ducts, we checked the MRCP. His MRCP showed mild
dilatation of the peripheral portion of both intrahepatic ducts with multiple strictures, which was compatible with
PSC. We prescribed UDCA for him and he was followed regullary.(Korean J Med 73:S890-S894, 2007)
Keywords :Ulcerative colitis, Primary sclerosing cholangitis, Cholangiography, Magneti cresonance
