간절제술 후 담관-대장 누공은 매우 드물게 나타나는 합병증으로 알려져 있다. 저자들은 73세 여성에서 간절제술을 시행한 후 발생한 담즙종에 대하여 반복적인 담도 배액술 치료 중 내시경적 역행성 췌담도 조영술을 통하여 우연히 담관-대 장 누공을 발견하였고, 이를 내시경적으로 대장 클립 거치를 통하여 치료에 성공하였던 1예를 경험하였기에 문헌고찰과 함께 보고하고자 한다.

Biliary-colonic fistula is a rare complication after hepatic resection. We present at a case of asymptomatic biliary-colonic fistula that developed 6 months after hepatectomy in a 73-year old female patient. She had been undergoing endoscopic treatment for a postoperative bile leakage, and the fistula was found by follow-up endoscopic retrograde cholangiopancreatography (ERCP). The fistula was formed between the right posterior segmental duct and the colon, and it was closed by colonoscopic clipping under fluoroscopic guidance. There was no recurrence at the 6-week follow-up ERCP.

• 노수민(울산대학교 의과대학 서울아산병원 내과, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea) | Soo Min Noh
• 소훈섭(울산대학교 의과대학 서울아산병원 내과, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea) | Hoonsub So
• 신승환(울산대학교 의과대학 서울아산병원 내과, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea) | Seung Whan Shin
• 양동훈(울산대학교 의과대학 서울아산병원 내과, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea) | Dong-Hoon Yang
• 박도현(울산대학교 의과대학 서울아산병원 내과, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea) | Do Hyun Park Corresponding author