Korean Journal of Pediatric Gastroenterology and Nutrition  2001;4(2):256-260

A Case of Chronic Relapsing Pancreatitis with Multiple Pancreatic Stones in Childhood.

Seung Yeon LEE 1 ; Ji Hyun UM ; Ki Sup CHUNG ; Myung Joon KIM

Affiliations

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Keywords

Chronic pancreatitis; Pancreatic stone; Childhood

Country

Republic of Korea

Language

Korean

Abstract

Chronic pancreatitis is a rare problem in childhood and sometimes shows pancreatic calcification. The most common symptom is recurrent upper abdominal pain with or without associated nausea or vomiting. Pancreatic calcifications are virtually pathognomonic of chronic pancreatitis. In our case, however, chronic pancreatitis caused by multiple pancreatic stones in dilated pancreatic duct, which was very rare in childhood. Endoscopic retrograde cholangiopancreaticography (ERCP) is valuable in confirming the diagnosis and decision making process for further medical or surgical management of pancreatic disease. We experienced a case of chronic relapsing pancreatitis with pancreatic stones in 13-year-old girl who presented with recurrent upper abdominal pain. She was investigated with ERCP and treated by endoscopic sphincterotomy of sphincter of Oddi and by some stone removal with endoscopic basket. We report this case and review related literatures briefly.