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A Case of Sphincter of Oddi Dysfunction in which Biliary Scintigraphy was Useful for the Diagnosis

2022; Japanese College of Surgeons; Volume: 47; Issue: 5 Linguagem: Japonês

10.4030/jjcs.47.680

ISSN

1883-8650

Autores

Muneyuki Koyama, Yasuro Futagawa, Keiichi Ikeda, Kyohei Abe, Michinori Matsumoto, Tomoyoshi Okamoto, Toru Ikegami,

Tópico(s)

Biliary and Gastrointestinal Fistulas

Resumo

十二指腸乳頭括約筋機能不全（sphincter of Oddi dysfunction：SOD）は乳頭括約筋の運動障害や狭窄により胆汁と膵液の十二指腸への排出が障害され，胆道内圧が亢進して腹痛が生じる病態である．今回，内視鏡的十二指腸乳頭括約筋内圧測定（sphincter of Oddi manometry：SOM）施行前に胆道シンチグラフィにてSODと診断し，その有用性が示唆された症例を経験した．

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