두강내 출혈 및 출혈성 경향을 동반한 선천성 담관 낭종 : 1예 보고와 문헌보고 Report of a case and review of literature = A Choledochal Cyst Associated with Hemorrhagic Tendency and a Cerebral Hematoma

국문 초록 (Abstract)

저자들은 3개월 된 남아에서 생긴 선천성 담관낭종으로 인해 vitamin K 흡수 장애로 출혈성 경향이 생기면서 두강내 혈종을 동반한 1예를 치험하였기에 문헌고찰과 함께 보고하는 바이다. vitamin K를 주사하여 출혈성 경향을 교정하고 두강내혈종을 제거한 뒤 담관낭종 절제 및 담관공장 문합술을 시행하였으며, 술후 경과는 양호 했다.

다국어 초록 (Multilingual Abstract)

Congenital dilatation of the common bile duct is relatively rare anomaly. Its pathogenesis has not been completely understood. Complications of the choledochal cyst are mainly suppuratneous and traumatic rupture.
We experienced one case of choledochal cyst associated with hemorrhagic tendency and a cerebral hematoma, which is extremely rare complication.
The 3 months old male patient reported here was treated with complete excision of cyst and Roux-en- Y choledochojejunostomy after correction of bleeding tendency and removal of cerebral hematoma.
Postoperative course was relatively uneventful. 11 days after operation, the patient was discharged with full improvement.