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Double plastic stent implantation for recurrent acute pancreatitis with incomplete pancreas divisum: a case report and literature review
- Source :
- The Journal of International Medical Research, Journal of International Medical Research, Vol 49 (2021)
- Publication Year :
- 2021
- Publisher :
- SAGE Publications, 2021.
-
Abstract
- Pancreas divisum (PD) is a common pancreatic malformation caused by the failure of fusion between ventral and dorsal pancreatic ducts. There is a small branch of communication between the two systems in incomplete PD, and this variation has an incidence of 15%. A 43-year-old female patient presented to our department with recurrent abdominal pain. Magnetic resonance cholangiopancreatography (MRCP) showed that the ventral pancreatic duct was curved, with a local pouchlike dilatation. Endoscopic ultrasonography supported the diagnosis of incomplete PD and showed a thin branch of communication between ventral and dorsal pancreatic ducts. Endoscopic retrograde cholangiopancreatography (ERCP) and papillotomy of the minor papilla with double plastic stent implantation were performed. One pancreatic plastic stent was inserted across the minor and major papilla over the guide wire, creating a U-shape. The other wire-guided plastic stent was inserted through the minor papilla into the dorsal pancreatic duct. The pancreatic fluid drained smoothly after stent placement. During the 6-month follow-up, the patient remained well, without recurrence of pancreatitis.
- Subjects :
- Adult
medicine.medical_specialty
Medicine (General)
endoscopic retrograde cholangiopancreatography
endoscopic sphincterotomy
Recurrent acute pancreatitis
Incomplete pancreatic divisum
Case Reports
Biochemistry
recurrent acute pancreatitis
Sphincterotomy, Endoscopic
R5-920
Medicine
Humans
Plastic stent
Incomplete pancreas divisum
Pancreas
Cholangiopancreatography, Endoscopic Retrograde
Magnetic resonance cholangiopancreatography
Pancreas divisum
stent implantation
Endoscopic retrograde cholangiopancreatography
medicine.diagnostic_test
business.industry
Biochemistry (medical)
Cell Biology
General Medicine
medicine.disease
Major duodenal papilla
magnetic resonance cholangiopancreatography
Pancreatitis
Acute Disease
Female
Stents
Radiology
business
Plastics
Subjects
Details
- Language :
- English
- ISSN :
- 14732300 and 03000605
- Volume :
- 49
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- The Journal of International Medical Research
- Accession number :
- edsair.doi.dedup.....bd4fb61070c750df635f2878919a5edc