A Rare Case of Pancreas Divisum Accompanied by Acute Pancreatitis Following Endoscopic Hemostasis for Duodenal Ulcer Bleeding.
10.4166/kjg.2017.69.4.248
- Author:
Yong Hyeok CHOI
1
;
Soon Man YOON
;
Eun Bee KIM
;
Youngmin OH
;
Keunmo KIM
;
Jisun LEE
;
Seon Mee PARK
;
Sei Jin YOUN
Author Information
1. Department of Internal Medicine, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Korea. smyoon@chungbuk.ac.kr
- Publication Type:Case Report
- Keywords:
Peptic ulcer;
Endoscopic hemostasis;
Pancreatitis
- MeSH:
Cholangiopancreatography, Magnetic Resonance;
Drainage;
Duodenal Ulcer*;
Endoscopy;
Female;
Hemorrhage*;
Hemostasis, Endoscopic*;
Humans;
Ligation;
Melena;
Methods;
Middle Aged;
Pancreas*;
Pancreatic Ducts;
Pancreatitis*;
Peptic Ulcer;
Ulcer
- From:The Korean Journal of Gastroenterology
2017;69(4):248-252
- CountryRepublic of Korea
- Language:English
-
Abstract:
Peptic ulcer bleeding is treated using endoscopic hemostasis using clips or bands. Pancreas divisum (PD), a congenital anomaly of the pancreas, usually has no clinical symptoms; however, pancreatitis may occur if there are disturbances in the drainage of pancreatic secretions. We report an unusual case of PD accompanied by acute pancreatitis, following endoscopic band ligation for duodenal ulcer bleeding. A 48-year-old woman was admitted to our hospital due to melena. An upper endoscopy revealed a small ulcer with oozing adjacent minor papilla. An endoscopic band ligation was performed on this lesion. Acute pancreatitis developed suddenly 6 hours after the band ligation and improved dramatically after removal of the band. Magnetic resonance cholangiopancreatography was performed, revealing complete PD. Endoscopic band ligation is known as the effective method for peptic ulcer bleeding; however, it should be used carefully in duodenal ulcer bleeding near the minor duodenal papilla due to the possibility of PD.
