학술논문
Treatment of choledochocele associated with acute pancreatitis using endoscopic sphincterotomy / 急性膵炎を契機に発見されたCholedochoceleに対してESTを施行した1例
Document Type
Journal Article
Author
Eiichi Yamamura; Hiroshi Takahashi; Kazuaki Inoue; Kunio Asonuma; Kuniyo Gomi; Masafumi Hayashi; Masatsugu Nagahama; Naotaka Maruoka; Natsumi Uehara; Reika Suzuki; Shotaro Hanamura; Takahiro Kobayashi; Toru Nakanishi; Toshiyuki Endo; Yuichi Takano; Yuichiro Kuroki; 上原 なつみ; 中西 徹; 丸岡 直隆; 五味 邦代; 井上 和明; 小林 孝弘; 山村 詠一; 林 将史; 花村 祥太郎; 遠藤 利之; 鈴木 怜佳; 長濱 正亞; 阿曽沼 邦央; 高橋 寛; 高野 祐一; 黒木 優一郎
Source
Progress of Digestive Endoscopy. 2016, 88(1):176
Subject
Language
Japanese
ISSN
1348-9844
2187-4999
2187-4999
Abstract
A 75-year-old male patient, who presented with umbilica pain, was diagnosed with acute pancreatitis. Magnetic resonance cholangiopancreatography findings indicated saccular dilatation of the lower bile duct. After the pancreatitis improved, endoscopic retrograde cholangiopancreatography (ERCP) was performed. ERCP showed that the bile duct and pancreatic duct were separately contrasted, and saccular dilatation of the lower bile duct was noted. The patient was diagnosed with choledochocele with no formation of a common duct. Considering that the pancreatitis may have been caused by physical exclusion of the pancreatic duct by the choledochocele, endoscopic sphincterotomy was performed. No pancreatitis recurrence has occurred over the 9 months following treatment. Our findings suggest that choledochocele should be considered when conducting differential diagnosis for cases of pancreatitis of unknown cause.