Spontaneous External Biliary Fistula: A Rare Complication of Cholangiocarcinoma
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概要
- 論文の詳細を見る
A 68-year-old woman presented with yellowish discharge oozing from a fistula opening in the upper epigastric area that had persisted for one month prior to her visit. The patient had undergone a left lateral segmentectomy of the liver ten years prior for treatment of intrahepatic duct (IHD) stones. An abdominal computed tomography (CT) scan showed focal stricture and proximal dilatation of remnant IHD and a 1 cm-sized rim-enhancing lesion located under the surgical bed of the abdominal wall surrounding the dilated remnant IHD. Despite conservative management including nasobiliary drainage, no further improvement was anticipated. Partial hepatectomy and fistulectomy were performed for pathologic diagnosis and treatment of the enhancing lesion. Histopathology revealed adenocarcinoma. In this case, cholangiocarcinoma might have arisen in association with IHD stones and then developed a choledocho-cutaneous fistula as a clinical manifestation.
著者
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Oh Hyoung-chul
Department Of Internal Medicine University Of Ulsan College Of Medicine Asan Medical Center
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Kim Jeong
Department Of Anatomy Wonkwang University School Of Medicine
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Do Jae
Department of Horticultural Science, Seoul National University
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Kim Beom
Department Of Chemical Engineering Konyang University
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Kim Mi
Department Of Advanced Materials Science And Engineering Sungkyunkwan University
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Song In
Department of Advanced Material Engineering, Daejeon University, Daejeon 300-716, Republic of Korea
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Kim Jae
Deparment of Obstetrics and Gynecology, Seoul National University Collge of Medicine
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Kim Beom
Department of Internal Medicine, Chung-Ang University College of Medicine, Korea
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Jeong Lae
Department of Internal Medicine, Chung-Ang University College of Medicine, Korea
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Chi Kyong
Department of Surgery, Chung-Ang University College of Medicine, Korea
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Kim Mi
Department of Pathology, Chung-Ang University College of Medicine, Korea
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Song In
Department of Internal Medicine, Chung-Ang University College of Medicine, Korea
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Do Jae
Department of Internal Medicine, Chung-Ang University College of Medicine, Korea
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Kim Jeong
Department of Internal Medicine, Chung-Ang University College of Medicine, Korea
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