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담관의 자연 천공

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dc.contributor.author최승훈-
dc.date.accessioned2021-09-28T08:07:06Z-
dc.date.available2021-09-28T08:07:06Z-
dc.date.issued1996-12-
dc.identifier.issn1225-9047-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/183425-
dc.description.abstractSpontaneous perforation of the bile duct in children is a very rare disorder. We experienced a 6 year-old girl with spontaneous perforation of the right hepatic duct. The patient was initially misdiagnosed as hepatitis because of elevation of liver enzyme and then as appendicitis because of fluid collection in the pelvic cavity demonstrated by ultrasonogram. A laparoscopic exploration was done and no abnormal findings were detected except bile-stained ascites. Peritoneal drainage was performed and the patients seemed to improve clinically. Abdominal pain, distention and high fever developed after removal of the drains. DISIDA scan showed a possible of bile leak into the peritoneal cavity. ERCP demonstrated free spill of dye from the right hepatic duct. At laparotomy, the leak was seen in the anterior wall of the right hepatic duct 2cm above the junction of the cystic duct and common hepatic duct. The perforation was linear in shape and 0.8cm in size. The patient underwent cholecystectomy, primary closure of the perforation and T-tube choedochostomy. We could not identify the cause of the perforation; however, the T-tube cholangiography taken on the 42nd postoperative day showed a little more dilatation of the proximal common bile duct compared with the cholangiography taken on the 14th day. Long-term follow-up of the patient will be necessary because of the possibility for further change of the duct.-
dc.description.statementOfResponsibilityopen-
dc.languageKorean-
dc.publisher대한소아외과학회-
dc.relation.isPartOfJournal of the Korean Association of Pediatric Surgeons(소아외과)-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.title담관의 자연 천공-
dc.title.alternativeSpontaneous Perforation of the Bile Duct-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.googleauthor유수영-
dc.contributor.googleauthor박용태-
dc.contributor.googleauthor최승훈-
dc.contributor.googleauthor황의호-
dc.identifier.doi10.13029/jkaps.1996.2.2.143-
dc.contributor.localIdA04103-
dc.relation.journalcodeJ01808-
dc.subject.keywordBile duct perforation-
dc.subject.keywordSpontaneous-
dc.contributor.alternativeNameChoi, Seung Hoon-
dc.contributor.affiliatedAuthor최승훈-
dc.citation.volume2-
dc.citation.number2-
dc.citation.startPage143-
dc.citation.endPage147-
dc.identifier.bibliographicCitationJournal of the Korean Association of Pediatric Surgeons (소아외과), Vol.2(2) : 143-147, 1996-12-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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