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아동학대에 의한 외상성 간외 담관 협착과 간내 낭종 형성: 증례 보고

Other Titles
 Bile Duct Stricture and Intrahepatic Cystic Formation after Abdominal Injury due to Child Abuse: A Case Report 
Authors
 인경  ;  구은정  ;  호인걸  ;  이동은  ;  한석주 
Citation
 Journal of the Korean Association of Pediatric Surgeons (소아외과), Vol.24(1) : 30-34, 2018 
Journal Title
 Journal of the Korean Association of Pediatric Surgeons (소아외과) 
ISSN
 1225-9047 
Issue Date
2018
Keywords
Child abuse ; Bile duct ; Multiple trauma ; Blunt injury
Abstract
A 6-year-old male who lived with a mother in a single-parent family was referred to the emergency room with multiple traumas. There was no specific finding on CT scan of the other hospital performed 55 days before admission. However, CT scan at the time of admission showed common bile duct (CBD) stenosis, proximal biliary dilatation and bile lake formation at the segment II and III. Endoscopic retrograde biliary drainage was performed, but the tube had slipped off spontaneously 36 days later, and follow-up CT scan showed aggravated proximal biliary dilatation above the stricture site. He underwent excision of the CBD including the stricture site, and the bile duct was reconstructed with Roux-en-Y hepaticojejunostomy. Pathologic report of the resected specimen revealed that the evidence of trauma as a cause of bile duct stricture. While non-iatrogenic extrahepatic biliary trauma is uncommon, a level of suspicion is necessary to identify injuries to the extrahepatic bile duct. The role of the physicians who treat the abused children should encompass being suspicious for potential abdominal injury as well as identifying visible injuries.
Files in This Item:
T201802096.pdf Download
DOI
10.13029/jkaps.2018.24.1.30
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실)
Yonsei Authors
이동은(Lee, Dongeun)
인경(Ihn, Kyong) ORCID logo https://orcid.org/0000-0002-6161-0078
한석주(Han, Seok Joo) ORCID logo https://orcid.org/0000-0001-5224-1437
호인걸(Hu, Jen Chien)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/162656
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