A Case of Clonorchiasis with Focal Intrahepatic Duct Dilatation Mimicking an Intrahepatic Cholangiocarcinoma
김봉갑, 강대환, 최철웅, 김형욱, 이재형, 김석훈, 여혜주, 이수용,
소속 상세정보
김봉갑 ( Kim Bong-Gap )
부산대학교 의학전문대학원 내과학교실
강대환 ( Kang Dae-Hwan )
부산대학교 의학전문대학원 내과학교실
최철웅 ( Choi Cheol-Woong )
부산대학교 의학전문대학원 내과학교실
김형욱 ( Kim Hyung-Wook )
부산대학교 의학전문대학원 내과학교실
이재형 ( Lee Jae-Hyung )
부산대학교 의학전문대학원 내과학교실
김석훈 ( Kim Suk-Hun )
부산대학교 의학전문대학원 내과학교실
여혜주 ( Yeo Hye-Ju )
부산대학교 의학전문대학원 내과학교실
이수용 ( Lee Soo-Yong )
부산대학교 의학전문대학원 내과학교실
KMID : 0359020110440010055
Abstract
Biliary strictures can be caused by various diseases. Intrahepatic duct (IHD) strictures are usually related to IHD stones and cholangitis. However, focal IHD strictures without IHD stones often create diagnostic problems. Parasitic diseases such as clonorchiasis can be a rare cause of an IHD stricture. Human clonorchiasis (Clonorchis sinensis infection) is an endemic parasitic disease in Eastern Asia, including Korea, and patients acquire the infestation by eating raw fish. On radiological examinations, clonorchiasis shows typically diffuse, minimal, or mild dilatation of the small IHD, particularly in the periphery, without dilatation of the extrahepatic duct. However, diagnosis of clonorchiasis can sometimes be difficult when radiological changes are atypical. We report a case of focal left IHD dilatation caused by clonorchiasis that was confused with a malignancy.
키워드
Clonorchiasis; Intrahepatic bile duct; Dilatation; Stricture
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