담낭 대장 루

Internal biliary fistula is a very rare disease. Fistula is usunlly produced by chrnnic disease of liiliary tract associated with ;allstone,and may be produced by peptic ulcer, by malignancy or traurna The common types giien in order are cholecystoduodenal, cholecystocolic, choledochoduo-

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Veröffentlicht in:The Korean journal of gastroenterology 1996-01, Vol.28 (6), p.893
Hauptverfasser: 하헌돈, Heon Don Ha, 강창규, Chang Gyu Kang, 김영운, Young Un Kim, 오성광, Sung Kwang Oh, 황석주, Soek Joo Hwang, 김대영, Dae Young Kim, 임선재, Seon Jae Yim, 박승욱, Seung Wook Park, 이두용, Doo Yong Lee
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container_issue 6
container_start_page 893
container_title The Korean journal of gastroenterology
container_volume 28
creator 하헌돈
Heon Don Ha
강창규
Chang Gyu Kang
김영운
Young Un Kim
오성광
Sung Kwang Oh
황석주
Soek Joo Hwang
김대영
Dae Young Kim
임선재
Seon Jae Yim
박승욱
Seung Wook Park
이두용
Doo Yong Lee
description Internal biliary fistula is a very rare disease. Fistula is usunlly produced by chrnnic disease of liiliary tract associated with ;allstone,and may be produced by peptic ulcer, by malignancy or traurna The common types giien in order are cholecystoduodenal, cholecystocolic, choledochoduo-
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Fistula is usunlly produced by chrnnic disease of liiliary tract associated with ;allstone,and may be produced by peptic ulcer, by malignancy or traurna The common types giien in order are cholecystoduodenal, cholecystocolic, choledochoduo- &lt;Ienal, cholecystogastric fistula. Etc. The mechanism of fistula forniatinns is due to adherence of the inflnmmed gallbladder or cnn mnn bile duct to adjacent viscus and exit of a gallstone into the adjacent orgm. Thc clinical .,ymptoms,signs, laboratory findings are often so nnnspecific that f'istiila is u.iually difficult tn &lt;Jiagnose preoperatively. Preoperative diagnostic rate is io between 31% fn m7% of reported case. A 4S years old male visited Dae Senn SlJN general hospital because of persistent diarrhea ond abdominal discomfort. Of' 15 years prior to his visit, he had been suffered from the severe RlSQ pain ancl treated by medical regimen nnder impression of acute cholecystitis associated with gallstnne. And occasionally intermitent RIJQ pain persisted imtill 6 years ago, when sudden disappearence oF RUO pain developed, then followed by persistent diarrhea and lower abdominal discomfort. Pneumchilia is found on abdorninal sonogram, and the fistula trnct between gallbladder arvt colon has bee disclosed on barium enema study and F.RCP, abdominal CT. But surgical intcrvcntinn h,I t eer delayed because of patients cvnsent. 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Fistula is usunlly produced by chrnnic disease of liiliary tract associated with ;allstone,and may be produced by peptic ulcer, by malignancy or traurna The common types giien in order are cholecystoduodenal, cholecystocolic, choledochoduo- &lt;Ienal, cholecystogastric fistula. Etc. The mechanism of fistula forniatinns is due to adherence of the inflnmmed gallbladder or cnn mnn bile duct to adjacent viscus and exit of a gallstone into the adjacent orgm. Thc clinical .,ymptoms,signs, laboratory findings are often so nnnspecific that f'istiila is u.iually difficult tn &lt;Jiagnose preoperatively. Preoperative diagnostic rate is io between 31% fn m7% of reported case. A 4S years old male visited Dae Senn SlJN general hospital because of persistent diarrhea ond abdominal discomfort. Of' 15 years prior to his visit, he had been suffered from the severe RlSQ pain ancl treated by medical regimen nnder impression of acute cholecystitis associated with gallstnne. And occasionally intermitent RIJQ pain persisted imtill 6 years ago, when sudden disappearence oF RUO pain developed, then followed by persistent diarrhea and lower abdominal discomfort. Pneumchilia is found on abdorninal sonogram, and the fistula trnct between gallbladder arvt colon has bee disclosed on barium enema study and F.RCP, abdominal CT. But surgical intcrvcntinn h,I t eer delayed because of patients cvnsent. (Korean 3 tastroenterol ]995:27: 893-89'7l</abstract><pub>대한소화기학회</pub><tpages>5</tpages></addata></record>
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identifier ISSN: 1598-9992
ispartof The Korean journal of gastroenterology, 1996-01, Vol.28 (6), p.893
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source DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals
subjects Cholecystocolic
Fistula
title 담낭 대장 루
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