Recurrent Acute Pancreatitis Associated with Sphincter of Oddi Dysfunction in a Child.
- Author:
Byung Ho CHOI
1
;
Sun Min PARK
;
Ho Gak KIM
;
Jung Mi KIM
;
Suk Jin HONG
;
Jung Ok KIM
;
Min Hyun CHO
;
Byung Ho CHOE
Author Information
1. Department of Pediatrics, Kyungpook National University School of Medicine, Daegu, Korea. bhchoi@knu.ac.kr
- Publication Type:Case Report
- Keywords:
Pancreatitis;
Sphincter of Oddi dysfunction;
Sphincterotomy;
Child
- MeSH:
Adolescent;
Child;
Cholangiopancreatography, Endoscopic Retrograde;
Cholangiopancreatography, Magnetic Resonance;
Humans;
Manometry;
Pancreatic Ducts;
Pancreatitis;
Sphincter of Oddi;
Sphincter of Oddi Dysfunction
- From:Korean Journal of Pediatric Gastroenterology and Nutrition
2008;11(2):193-197
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Recent studies suggest that sphincter of Oddi dysfunction (SOD) is one of the possible causes of unexplained recurrent acute pancreatitis in children. A 14-year-old boy who had suffered from idiopathic recurrent acute pancreatitis was diagnosed with SOD. Abdominal ultrasonography, computerized tomography, and magnetic resonance cholangiopancreatography revealed no evidence of stone, tumor, or pancreatic ductal anomaly. Endoscopic retrograde cholangiopancreatography (ERCP) and sphincter of Oddi manometry (SOM) revealed elevated basal pressure and tachyoddia consistent with SOD. Hence, an endoscopic pancreatic sphincterotomy was performed. We report a case of recurrent acute pancreatitis associated with SOD in a child. ERCP and SOM may be considered in patients with multiple unexplained attacks of pancreatic pain and negative abdominal imaging.
