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ERCP and Direct Cholangioscopy with Gastroscope in Patients with Ectopic Opening of the Bile Duct into the Duodenal Bulb: A Report of 3 Cases

Jang JW, Kim SH, Jung SH, Kim A

Ectopic openings of the common bile duct into the duodenal bulb, which are associated with biliary tract disease or recurrent/refractory duodenal ulcers, are rare. We report three such cases, all...
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Peritonitis Caused by Internal Migration of the Percutaneous Transhepatic Biliary Drainage Catheter

Ahn SH, Ki SH, Oh CY, Cho WH, Lee JH, Lee YS, Lee HJ

Percutaneous transhepatic biliary drainage (PTBD) is a modality that is used to decompress obstructive jaundice due to impacted stones, benign stricture or cancer. The PTBD catheter is removed percutaneously after...
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A Case of Curative Resection of Advanced Combined Hepatocellular-cholangiocarcinoma after Neoadjuvant Chemotherapy

Choi JE, Kim KH, Kim SA, Lee JH, Woo SM, Park SJ, Hong EK, Lee WJ

Combined hepatocellular-cholangiocarcinoma (HCC-CC) is a primary liver cancer with histopathologic features of both hepatocelluar carcinoma and cholangiocarcinoma. As combined HCC-CC has been associated with poor outcomes, accurate diagnosis and proper...
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Intrahepatic Cholangiocarcinoma with Central Calcification

Kim HS, Yoon JH, Eom JH, Lee SW, Park TY, Lee SK

A 50-year-old woman complained of jaundice and dyspepsia that started 2 weeks prior to consultation. Abdomen-pelvic computed tomography showed a 3 cm mass in the right hepatic duct with central...
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Common Bile Duct Angiosarcoma

Lee J, Mun YG, Jang SE, Kim DJ, Yoo YW, Lee JR, Jeon H, Eum SH

Angiosarcoma is a very rare form of neoplasm derived from soft tissue. It is reported even more rarely in hepatobiliary system. Because of its nonspecific symptoms and difficulty in diagnosis,...
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A Gangliocytic Paraganglioma of the Ampulla of Vater Removed by Endoscopic Resection

Jung JH, Yoo BM, Um YJ, Cho H, Ahn YH, Yang MJ, Hwang JC, Kim JH

Gangliocytic paraganglioma (GP) is an extremely rare tumor that mostly occurs in the periampullary area of the duodenum. It is characterized by benign behavior and favorable outcomes, but sometimes shows...
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Acute Pancreatitis after Extracorporeal Shock Wave Lithotripsy for a Urolithiasis

Hong JU, John BM, Jung TS, Noh IY, Kang NK, Min IS, Lee JY, Kim HS

48-year-old woman was admitted to emergency room due to left flank pain. It was diagnosed with left ureteral stone and underwent extracorporeal shock wave lithotripsy (ESWL). However, 12 hours later,...
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Acute Emphysematous Pancreatitis with Fulminant Multi-organ Failure

Hong SW, Kang J, Youk J, Hwang JH, Kim J

An emphysematous pancreatitis is a rare, but fatal subtype of acute pancreatitis. Gas-forming bacteria from the bowel may penetrate the pancreas to cause emphysematous pancreatitis. It is characterized by the...
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The Prevention and Management of Post-ERCP Pancreatitis

Lee ES, Kim H

Complications that may occur after an endoscopic retrograde cholangiopancreatography (ERCP) procedure include pancreatitis, bleeding, cholangitis, cholecystis, perforation, and post-ERCP pancreatitis (PEP). Of these, PEP is the most common complication and...
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ERCP-Related Duodenal Perforation; The Prevention and Management

Kim HJ, Park SM

Endoscopic retrograde cholangiopancreatography (ERCP) is an invasive procedure carrying potential complication such as pancreatitis, hemorrhage, perforation and cholangitis. Most of those complications are mild and usually need a short additional...
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