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Cirujano General

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2009, Number 2

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Cir Gen 2009; 31 (2)

Pancreas divisum and pancreatitis: presentation of one case

Maldonado-Pintado DG, Cortés-Romano JJP, Barinagarrementería-Aldatz MR, Maldonado-Vázquez MA, González-Guevara M, Oviedo-Molina VM, Betancourt-García JR
Full text How to cite this article

Language: Spanish
References: 10
Page: 125-128
PDF size: 131.48 Kb.


Key words:

Pancreas, divisum, endoscopic retrograde cholangiopancreatography.

ABSTRACT

Objective: To show, through a case report, the relation between pancreas divisum (PD) and recurrent pancreatitis.
Setting: Third level health care hospital.
Design: Case Report.
Case report: Male patient, 31-years-old, with recurring clinical symptoms of acute pancreatitis and normal ultrasounds, with unspecific abdominal pain, and without relevant data on physical examination. Laboratory test revealed elevated amylase and lipase, and the abdominal CAT scan revealed a chronic pancreatitis suggestive image. Endoscopic retrograde cholangiopancreatography (ERCP) was performed, which allowed visualizing enlargement of the minor and major papilla, with separate drainage; sphincterotomy was performed in both papillae. The patient evolved favorably.
Conclusion: This congenital anomaly of the pancreas, when related with pancreatitis, can be diagnosed and treated through endoscopy with very good results.


REFERENCES

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  8. Chen R. Diagnosing pancreas divisum in patients with abdominal pain and pancreatitis: Is endoscopic ultrasound accurate enough? Gastrointest Endosc 2002; 56: S150.

  9. Rodríguez-Asiain M, Gómez-Pérez MG, Sánchez-Cortázar J, Téliz-Meneses MA, Angulo-Suárez M, Vicente-Andrews Y. Colangiopancreatografía por resonancia magnética. Acta Med Gpo And 2006; 4: 33-41.

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Cir Gen. 2009;31