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담도 회충미입증으로 인한 합병증 중에서 급성 췌장염 소견을 보이는 경우는 유행지역에서 23%까지 보고되지만, 국내에서는 1985년 이후로 1예만이 보고되었다. 본 증례는 상복부 동통, 오심, 구토를 주소로 내원하여 급성 췌장염 소견을 보였던 71세 남자 환자에서 자기공명영상 담도췌관조영술 및 내시경적 역행성 담도췌관조영술로 담도 회충미입증을 진단하고, 내시경적으로 치료한 경우로 문헌 고찰과 함께 보고한다.


Ascaris Lumbricoides was the most common helminth in Korea, but the prevalence of ascariais has decreased to 0.05%, so as the incidence of biliary ascariasis. The incidence of pancreatitis due to biliary ascariasis is relatively common in endemic areas, but in Korea only one case has been reported since 1985.A 71-year-old man was admitted with a sudden onset of nausea, vomiting and severe epigastric pain. He was diagnosed as acute pancreatitis based on physical findings and an elevated serum amylase level. Magnetic resonance cholangiopancreatography (MRCP) that was performed on admission revealed diffusely enlarged pancreas with fluid collection and long tubular structure in the common bile duct, which showed intermidiate signal intensity on T1 weighted image and low signal intensity on T2 weighted image. Also, endoscopic retrograde cholangiopancreatography (ERCP) was performed to treat biliary ascariasis. After sphincterotomy, ascaris was extracted by a basket without any complication. (Korean J Gastrointest Endosc 2002;24:187-191)