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KMID : 0882420120820060709
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Korean Journal of Medicine
2012 Volume.82 No. 6 p.709 ~ p.712
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A Case of Acute Pancreatitis after Endoscopic Biopsy in Congenital Pancreatic Duct Anomalies
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Jeong Woo-Shin
Kim Hong-Joo
Shim Choong-Nam
Heo Woon-Je
Lee Sang-Hyuk
Seol Ji-Soo
Shin Dong-Suk
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Abstract
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Congenital anomalies or normal variants of the pancreatic duct are in most cases asymptomatic and are found incidentally while conducting imaging studies (such as a MRCP and a CT scan) for other reasons. The frequency of pancreatic duct variants has been reported to be about 9% of the general population; the most common type is a bifid configuration of the major and minor pancreatic ducts. Though most patients with pancreatic duct variants do not have any symptoms, a small number may develop jaundice or gallstones. By reporting the case of a patient with a variant pancreatic duct who developed acute pancreatitis after undergoing screening endoscopy and biopsy, this study aims to warn of the possible risks of screening endoscopy or biopsy in the second portion of the duodenum.
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KEYWORD
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Acute pancreatitis, Pancreatic duct, Esophagogastroduodenoscopy
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