An Impacted Pancreatic Stone at the Orifice of the Minor Papilla Causing a Bout of Acute Pancreatitis in a Patient with Pancreas Divisum.
- Author:
Sang Taek HAN
1
;
Sun Young KIM
;
Chul Sung PARK
;
Jae Myung CHA
;
Kwan Ho KO
;
Seung Whan LEE
;
Hyun Ju PARK
;
Yeon Ho JOO
;
Dong Wan SEO
;
Sung Koo LEE
;
Myung Hwan KIM
;
Young Il MIN
Author Information
1. Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Pancreas divisum;
Minor papilla orifice;
Impacted stone
- MeSH:
Abdominal Pain;
Humans;
Middle Aged;
Pancreas*;
Pancreatitis*;
Pancreatitis, Chronic
- From:Korean Journal of Gastrointestinal Endoscopy
2000;21(2):666-670
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pancreas divisum is the most common congenital anomaly of the pancreas. Whether pancreas divisum is the cause of chronic abdominal pain, acute pancreatitis, or chronic pancreatitis is a matter of controversy yet. We recently experienced a case of acute pancreatitis due to an impacted stone at the orifice of the minor papilla in a 58 year-old man with pancreas divisum who showed clear radiologic evidences of dorsal chronic pancreatitis. The bout of acute pancreatitis recovered rapidly after endoscopic treatment (minor papilla sphincterotomy, stone removal, and endoscopic nasopancreatic drainage). We herein report an unusual manifestation of pancreas divisum in which endoscopic treatment was effective.
