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Original Article
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Korean J Med. 2009;77(2):227-231.
- 잔존 총담관에 발생한 다발성 결석
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성혜영, 이인석, 조유경, 박재명, 김상우, 최명규, 정인식
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- Multiple stone formation in a remnant choledochal cyst
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Hye Young Sung, In Seok Lee, Yu Kyung Cho, Jae Myung Park, Sang Woo Kim, Myung-Gyu Choi, In-Sik Chung
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- Abstract
- The recommended surgical method for treating congenital biliary dilation is excision of the entire extrahepatic bile duct, with a
hepaticoenterostomy to stop reflux and stasis of pancreatic secretions in the gallbladder and dilated bile duct. Late complications of
surgical treatment include anastomotic strictures, cholangitis, and stone formation in the intrahepatic bile ducts. This report describes
a very rare late complication, in which protein stones formed in a remnant choledochal cyst in the pancreas 23 years after resection
of a congenital choledochal cyst. Our case highlights the necessity for complete cyst resection as close as possible to the portion
buried in the pancreatic bed at the time of primary choledochal cyst resection. (Korean J Med 77:227-231, 2009)
Keywords :Choledochal cyst, Remnant, Late complication
