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간세포암종 환자에서 고주파 열치료술 후에 발생한 담관-십이지장 누공 1예
박성길 ( Seong Gill Park ),박성재 ( Sung Jae Park ),구호석 ( Ho Suk Koo ),박상원 ( Sang Won Park ),박은택 ( Eun Tack Park ),이연재 ( Youn Jae Lee ),이상혁 ( Sang Hyuk Lee ),설상영 ( Sang Young Seol ) 대한소화기학회 2008 대한소화기학회지 Vol.51 No.3
Hepatocellular carcinoma (HCC) is one of the most common malignant neoplasms occuring worldwide. Surgical resection currently provides the best chance of long-term tumor free survival, but the most HCCs are not candidates for surgical excision due to poor liver function or poor medical background. Numerous noninvasive alternatives to surgical resection have been introduced to treat liver cancers. Radiofrequency thermal ablation has begun to receive much attention as an effective and minimally invasive technique for the local control of HCC. The biliary system related complications after radiofrequency ablation has rarely been reported. We report a case of biliary-duodenal fistula with liver abscess after radiofrequency ablation for HCC. The case was treated by abscess drainage and antibiotics. (Korean J Gastroenterol 2008;51:199-203)
간 수술의 병력이 없는 환자에서 발생한 담관 원주 증후군
하승인 ( Seung In Ha ),최정식 ( Jung Sik Choi ),김영훈 ( Young Hoon Kim ),전현수 ( Hyun Soo Jun ),조용건 ( Yong Gun Jo ),이원현 ( Won Hyun Lee ),박성길 ( Seong Gill Park ),이상헌 ( Sang Heon Lee ) 대한소화기학회 2012 대한소화기학회지 Vol.60 No.6
Biliary cast describes the presence of casts within the biliary tree. It is resultant sequel of cholangitis and hepatocyte damage secondary to bile stasis and bile duct injury. Biliary cast syndrome was first reported in patient undergone liver transplantation. The pathogenesis of biliary cast is not clearly identified, but proposed etiologic factors include post-transplant bile duct damage, ischemia, biliary infection, or post-operative biliary drainage tube, Although biliary casts are uncommon, most of biliary cast syndrome are reported in the liver transplant or hepatic surgery patients. A few reports have been published about non-transplant or non-liver surgery biliary cast. We report two cases of biliary cast syndrome in non-liver surgery patients.