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