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KMID : 0614620090540050333
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Korean Journal of Gastroenterology
2009 Volume.54 No. 5 p.333 ~ p.336
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Endoscopic Treatment of a Pediatric Patient with Acute Pancreatitis Caused by Anomalous Union of Pancreaticobiliary Duct Combined with Incomplete Pancreatic Divisum
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Park Jun-Beom
Seo Ju-Hee
Park Jeong-Youp
Park Seung-Woo
Song Si-Young
Chung Jae-Bock
Bang Seung-Min
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Abstract
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The most common causes of acute pancreatitis are microlithiasis and alcohol. In pediatrics, anomalies in pancreaticobiliary system should be considered as possible causes. Among many anomalies, pancreas divisum associated with anomalous pancreaticobiliary ductal union (APBDU) is very rare. APBDU is associated with acute pancreatitis, choledochal cyst, and gallbladder cancer. Pancreas divisum is also a well known cause of acute recurrent pancreatitis. In adult cases with such conditions, the role of endoscopic management including sphincterotomy or stenting through the Santorini duct is well documented. However, it is still controversial to perform endoscopic retrograde cholangiopancreatography in pediatrics. Herein, we experienced a case of 4 year 7 month old female patient suffered from recurrent attacks of acute pancreatitis, which were caused by APBDU and incomplete pancreas divisum. She was treated by endoscopic sphincteretomy of both openings to the Santorinis and Wirsungs ducts. Thus, we report this interesting case with literature review.
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KEYWORD
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Pancreas divisum, Anomalous pancreaticobiliary ductal union, Pediatrics, Acute pancreatitis
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