Endoscopic Treatment of a Pediatric Patient with Acute Pancreatitis Caused by Anomalous Union of Pancreaticobiliary Duct Combined with Incomplete Pancreatic Divisum.
10.4166/kjg.2009.54.5.333
- Author:
Jun Beom PARK
1
;
Joo Hee SEO
;
Jung Yeup PARK
;
Seung Woo PARK
;
Si Young SONG
;
Jae Bock CHUNG
;
Seungmin BANG
Author Information
1. Division of Gastroenterology, Department of Internal Medicine, Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea. bang7028@yuhs.ac
- Publication Type:Case Report ; English Abstract
- Keywords:
Pancreas divisum;
Anomalous pancreaticobiliary ductal union;
Pediatrics;
Acute pancreatitis
- MeSH:
Abnormalities, Multiple;
Acute Disease;
Child, Preschool;
Cholangiopancreatography, Endoscopic Retrograde;
Common Bile Duct/*abnormalities/surgery;
Female;
Humans;
Pancreas/*abnormalities;
Pancreatic Ducts/*abnormalities/surgery;
Pancreatitis/*diagnosis/etiology/surgery;
Sphincterotomy, Endoscopic;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2009;54(5):333-336
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The most common causes of acute pancreatitis are microlithiasis and alcohol. In pediatrics, anomalies in pancreaticobiliary system should be considered as possible causes. Among many anomalies, pancreas divisum associated with anomalous pancreaticobiliary ductal union (APBDU) is very rare. APBDU is associated with acute pancreatitis, choledochal cyst, and gallbladder cancer. Pancreas divisum is also a well known cause of acute recurrent pancreatitis. In adult cases with such conditions, the role of endoscopic management including sphincterotomy or stenting through the Santorini duct is well documented. However, it is still controversial to perform endoscopic retrograde cholangiopancreatography in pediatrics. Herein, we experienced a case of 4 year 7 month old female patient suffered from recurrent attacks of acute pancreatitis, which were caused by APBDU and incomplete pancreas divisum. She was treated by endoscopic sphincteretomy of both openings to the Santorini's and Wirsung's ducts. Thus, we report this interesting case with literature review.
