Cystic Duct Insertion at the Ampulla of Vater and Acute Pancreatitis: A Case Report.
- Author:
Seung Baik YU
1
;
Jun Pyo CHUNG
;
Dong Joo KIM
;
Se Joon LEE
;
Byung Soo MOON
;
Si Young SONG
;
Kwan Sik LEE
;
Jae Bock CHUNG
;
Sang In LEE
;
Jin Kyung KANG
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Cystic duct insertion;
Ampulla of Vater;
Acute pancreatitis;
Low junction
- MeSH:
Adenocarcinoma;
Adult;
Ampulla of Vater*;
Chemistry;
Choledochal Cyst;
Cholelithiasis;
Common Bile Duct;
Constriction, Pathologic;
Cystic Duct*;
Humans;
Pancreatic Ducts;
Pancreatitis*;
Sphincter of Oddi Dysfunction
- From:Korean Journal of Gastrointestinal Endoscopy
2000;20(6):496-498
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The two most common causes of acute pancreatitis are alcohol and cholelithiasis. Acute recurrent pancreatitis can result from a variety of abnormalities involving the terminal end of the distal choledochus, pancreatic duct, ampulla of Vater and the major duodenal papilla, which in turn may include a papillary stenosis, periampullary neoplasm, choledochocele, sphincter of Oddi dysfunction, and pancreatic ductal adenocarcinoma. Recently a case of recurrent acute pancreatitis associated with aberrant cystic duet insertion at the ampulla of Vater was experienced. Biliary-pancreatic reflux was speculated to be the mechanism responsible for causing this anomalous, recurrent, acute pancreatitis. Another case of acute pancreatitis associated with aberrant cystic duct insertion at the ampulla of Vater was also experienced in a 29-year-old man, 1Jnlike the previous report, our case showed cholestatic features on the initial blood chemistry. An endoscopic retrograde cholangiopancre-atography performed after recovry revealed only aberrant cystic duct insertion at the ampulla of Vater. This anomaly also seems to have played a role in causing acute pancreatitis in this patient. This interesting case is herein reported with a review of the relevant literature.
