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Original Article
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Korean J Med. 2009;77(3):343-348.
- 간내 결석에 동반된 담관 방선균증 1예
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배락천·정민규·조한진·박수영·조창민·탁원영·권영오, , , , , ,
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- Actinomycosis of the intrahepatic bile duct concomitant with intrahepatic duct stones
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Rack Cheon Bae, Min Kyu Jung, Han Jin Cho, Soo Young Park, Chang Min Cho, Won Young Tak, Young Oh Kweon
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- Abstract
- Actinomycosis is a chronic, suppurative, granulomatous disease caused by Actinomyces species, a filamentous, Gram-positive
anaerobic bacterium and a normal inhabitant of the oral cavity and gastrointestinal tract characterized by sulfur granule formation.
Primary bile duct actinomycosis is very rare in Korea and the pathogenesis of this infection is poorly understood. We report a case
of actinomycosis of the intrahepatic bile duct, concomitant with common bile duct and intrahepatic duct stones presenting as intermittent
right upper quadrant abdominal pain without fever as the chief complaint in a 50-year-old woman. The radiologic findings
revealed multiple intrahepatic duct and common bile duct stones. On performing a left lobectomy of the liver and endoscopic retrograde
cholangiopancreatography, marked dilatation of the intrahepatic bile duct and many brown pigment stones in the intrahepatic
duct and common bile duct were observed. Primary bile duct actinomycosis was confirmed by identifying sulfur granules with neutrophilic
infiltration in the intrahepatic duct. (Korean J Med 77:343-348, 2009)
Keywords :Actinomycosis, Bile duct, Stones
