A Case of Choledochocele Treated with Endoscopic Sphincterotomy

Keimyung Medical Journal 2008;27(2):152-159.

유두부 괄약근 절개술로 치유된 총담관류 1례

엄성현; 강현준; 김상엽; 이현철; 이형화; 김영성; 곽동협

Abstract

A Choledochocele (type III choledochal cyst) is a cystic or diverticular dilatation of intramural part of the terminal biliary tree protruding into the duodenal lumen. Endoscopic retrograde cholangiopancreatography is very useful for a correct diagnosis. The choice of the treatment of choledochal cyst is surgical resection; because of possibility of malignant transformation and biliary obstruction. But choledochocele; reported to have very low potential of malignant transfomation; high risk operative complications and morbidity; has been advocated as an alternative to treatment by endoscopic sphincterotomy. We report a case of choledocholcele successfully treated by endoscopic sphincterotomy.

Key Words: Choledochocele, Endoscopic sphincterotomy