Migrating pancreatic duct stone: a case report.
- Author:
Byung Chan LIM
1
;
Soon Chan HONG
;
Soon Tae PARK
;
Woo Song HA
;
Sang Kyoung CHOI
;
Soo In KWON
;
Young Joon LEE
;
Eun Jung JUNG
;
Hyun Un CHO
Author Information
1. Department of surgery, Gyeong-Sang National University College of Medicine.
- Publication Type:Case Report
- Keywords:
gallstone pancreatitis;
pancreatic duct stone
- MeSH:
Ampulla of Vater;
Amylases;
Bile Reflux;
Cholangiopancreatography, Endoscopic Retrograde;
Choledochostomy;
Common Bile Duct;
Gallstones;
Humans;
Hypertension;
Lipase;
Mastectomy, Segmental;
Middle Aged;
Pancreatectomy;
Pancreatic Ducts*;
Pancreatitis
- From:Korean Journal of Hepato-Biliary-Pancreatic Surgery
2001;5(1):179-182
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Most reports describe acute gallstone pancreatitis as a result of common bile duct and pancreatic duct obstruction at the Ampulla of Vater. The pathophysiology leading to the development of pancreatitis includes the common channel theory of obstruction leading to bile reflux, ductal hypertension secondary to pancreatic duct obstruction, and sphincter incompetence with duodenal content reflux.Rarely stones which from common bile duct have been demonstrated by ERCP to lie within the pancreatic duct. We experienced the patient who complained epigastric and RUQ pain. She was 51-year-old and had both intrahepatic duct, common bile duct stones and pancreatic duct stone. Initial amylase and lipase was 112 IU/L, 1925 U/L. We performed Lt. lateral segmentectomy, Roux-en-Y choledochojejunostomy, distal pancreatectomy. So We report this case.
