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A Duodenal Ulcer Caused by Pancreatic Ductal Hypertension with Chronic Pancreatitis

Authors :
Takashi Mikami
Malak Mohamed
Wataru Takagi
Tatsushi Sano
Akira Imoto
Takeshi Ogura
Daisuke Masuda
Kazuhide Higuchi
Saori Onda
Atsushi Okuda
Source :
Internal medicine (Tokyo, Japan). 54(24)
Publication Year :
2015

Abstract

We herein describe the case of a 67-year-old woman with a duodenal ulcer thought to be caused by elevated pancreatic ductal pressure. The patient complained of continuous upper abdominal pain. Her medical history included idiopathic chronic pancreatitis. Endoscopy revealed a huge duodenal ulcer located on the inferior duodenal angle, which had not been seen on endoscopic retrograde pancreatography two months previously. A combination study using endoscopy and contrast imaging confirmed the relationship between the duodenal ulcer and the pancreatic branch duct. To our knowledge, this is the first case of duodenal ulcer thought to be caused by elevated pancreatic ductal pressure.

Details

ISSN :
13497235
Volume :
54
Issue :
24
Database :
OpenAIRE
Journal :
Internal medicine (Tokyo, Japan)
Accession number :
edsair.doi.dedup.....c56759081914746965be81497437d816