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KMID : 0359020080360030181
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Korean Journal of Gastrointestinal Endoscopy
2008 Volume.36 No. 3 p.181 ~ p.186
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A Case of the Common Bile Duct Web Treated with a Retrievable Covered Metallic Stent
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Im Yun-Sun
Chung Woo-Chul
Lee Kang-Moon
Lee Jeong-Rok
Kim Jin-Dong
Paik Chang-Nyol
Yang Jin-Mo
Chin Hyung-Min
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Abstract
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The web of the common bile duct is an extremely rare condition and is attributed to obstructive jaundice. Most cases have been found incidentally during a surgical procedure, since no specific preoperative clinical manifestations exist. Typically, the web of the biliary tree appears as a slit- or shelf-like radiolucent narrowing on a cholangiography. We experienced a case of the web of the common bile duct with obstructive jaundice in a 62 yearold female who complained of right upper quadrant pain. The patient was diagnosed via an endoscopic retrograde cholangiopancreaticography, and treated by way of a cholecystectomy, membranectomy and T-tube insertion. Four months after the surgical procedure, the patient had a
recurrence of the web-like structure in the common bile duct and was subsequently treated successfully using a retrievable covered metallic stent insertion. (Korean J Gastrointest Endosc 2008;36:181-186)
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KEYWORD
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Web, Obstructivejaundice, Coveredmetallicstent
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