An anomalous union of the pancreaticobiliary duct that was treated by drainage of the accessory ampulla.
- Author:
Jong Ho HWANG
1
;
Sang Ho LEE
;
Hyo June KWON
;
Hong Suk CHOI
;
Jin Man KIM
;
Sung Won JANG
;
Sun Hee CHOI
Author Information
1. Department of Internal Medicine, Busan Medical Center, Busan, Korea. asluke@naver.com
- Publication Type:Case Report
- Keywords:
Anomalous union of the pancreaticobiliary duct;
Pancreas divisum;
Endoscopic sphincterotomy;
Stent insertion
- MeSH:
Biliary Tract;
Cholangiopancreatography, Endoscopic Retrograde;
Common Bile Duct;
Drainage*;
Female;
Humans;
Pancreas;
Pancreatic Ducts;
Pancreatic Juice;
Pancreatitis;
Pregnancy;
Sphincter of Oddi;
Sphincterotomy, Endoscopic;
Stents;
Young Adult
- From:Korean Journal of Medicine
2007;72(5):546-550
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
An anomalous union of the pancreaticobiliary duct is defined as a condition in which the junction between the common bile duct and the pancreatic duct is located outside the duodenal wall. Therefore, the sphincter of Oddi does not influence the junction; there is always communication between these ducts, and so pancreatic juice flows into the biliary tract through the communication, which may cause pancreaticobiliary diseases. Pancreas divisum is a congenital variant of the pancreatic ductal anatomy, and the mechanism is that the dorsal and ventral pancreatic buds fail to fuse during the gestation. We report here on a 21 year old woman who previously had suffered with recurrent pancreatitis, and an anomalous union of the pancreaticobiliary duct associated with the incomplete type of pancreas divisum was revealed by ERCP. She was treated with minor papilla sphincterotomy and stent insertion.
