Korean J Gastrointest Endosc.  2009 Nov;39(5):319-323.

A Case of Intrahepatic Choledochal Web That Was Diagnosed by Percutaneous Transhepatic Cholangioscopy and It Was Treated with Balloon Dilatation: Review of the Korean Cases

Affiliations
  • 1Department of Internal Medicine, Chunbuk National University Medical School, Jeonju, Korea. solee@chonbuk.ac.kr
  • 2Research Institute of Clinical Medicine, Chunbuk National University Hospital, Jeonju, Korea.

Abstract

Choledochal web is an extremely rare disease and it is frequently associated with bile duct stone that causes biliary obstruction and cholangitis. Most cases of choledochal web have been found incidentally during a surgical procedure or on autopsy because of its rare incidence and the absence of specific clinical manifestations. Yet making an early diagnosis has become feasible with the development of radiologic studies. All twelve cases of choledochal web, reported in Korea, were located in the extrahepatic duct, and were diagnosed with an operation, endoscopic retrograde cholangiopancreatography or percutaneous transhepatic cholangiography. We report here on a case of intrahepatic choledochal web that was well visualized by percutaneous transhepatic choledochoscopy and it was treated with balloon dilatation.

Keyword

Choledochal web; PTCS; Balloon dilatation

MeSH Terms

Autopsy
Bile Ducts
Cholangiography
Cholangiopancreatography, Endoscopic Retrograde
Cholangitis
Dilatation
Early Diagnosis
Incidence
Korea
Rare Diseases
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