AI Article Synopsis
- Choledochal cysts (CC) are congenital conditions involving cystic dilations in the biliary tree, often linked to an abnormal connection between the pancreatic and bile ducts, but their connection to pancreatic divisum is uncommon.
- In a study of four cases, three patients had Type 3 pancreatic divisum and one had Type 1, with two cases experiencing pancreatic complications.
- The presence of pancreatic divisum in patients with CC is rare and can influence treatment approaches, indicating it may contribute to complications arising from choledochal cysts.
Article Abstract
Choledochal cysts (CC) are congenital cystic dilations of the biliary tree usually associated with abnormal pancreaticobiliary ductal junction (APBDJ), but its association with pancreatic divisum has been rarely described. We encountered four cases of CC associated with pancreatic divisum (PD). Three had Type 3 PD and one had Type 1 PD. Two cases presented with pancreatic complications, with one case requiring preoperative minor papilla sphincterotomy for recurrent pancreatitis. The association of CC with PD is infrequent, and the variable presentation alters management strategy. PD may be one of the factors responsible for complications associated with CC.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9948669 | PMC |
| http://dx.doi.org/10.47717/turkjsurg.2022.5609 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Complex pancreaticobiliary maljunction diagnosed by endoscopic ultrasound: A case report.
Medicine (Baltimore)
December 2024
Department of Gastroenterology, Shenzhen Hospital of Southern Medical University, Shen Zhen, Guangdong, China.
Rationale: This case report aims to enhance understanding of pancreatobiliary maljunction (PBM) and promote more proactive treatment.
Patient Concerns: The patient, a 24-year-old Chinese female, was admitted to the hospital on April 7, 2020, due to "recurrent abdominal pain for over 2 years, with a recent episode accompanied by nausea and vomiting for 1 day." She had a previous history of gallstones.
Usefulness of Fecal Calprotectin Measurement in aPediatric Patient with Crohn's Disease.
Fukushima J Med Sci
December 2024
Department of Pediatrics, Japan Self Defense Forces Central Hospital.
Acute pancreatitis in children in Japan is often caused by an anatomical abnormality of the pancreatic and bile duct, resulting in fever, abdominal pain, vomiting, diarrhea, and other symptoms. Crohn's disease, however, is a chronic granulomatous inflammatory bowel disease with ulcerative lesions of the intestinal tract of unknown cause that occurs mainly in young people, with symptoms similar to those of acute pancreatitis. We report a case of acute pancreatitis diagnosed in a patient not only with incomplete fusion of the pancreatic duct but also with Crohn's disease.
View Article and Find Full Text PDFPANCREATODUODENECTOMY AS TREATMENT FOR RECURRENT ACUTE PANCREATITIS DUE TO PANCREAS DIVISUM.
Arq Bras Cir Dig
December 2024
From Universidade Federal do Maranhão, Hospital Universitário Presidente Dutra, Department of Gastrointestinal Surgery, Hepatopancreatobiliary and Liver Transplant Unit - São Luis (MA), Brazil.
Background: Pancreas divisum is an anatomical abnormality where the junction of the main and accessory pancreatic duct fails to occur and the smaller-caliber duct acts as dominant, resulting in overload during the drainage of the organ's secretion through the minor duodenal papilla.
Aims: To report a case of recurrent acute pancreatitis due to symptomatic pancreas divisum who underwent pancreatoduodenectomy.
Case Report: A 21-year-old male patient presented with intermittent painful crises, located in the upper abdomen, with radiation to the back, associated with nausea and vomiting, for the past three years.
Novel method for retrieving Santorini duct stones from a patient with a rare chymotrypsin C variant combined with pancreas divisum.
Endoscopy
December 2024
Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan, China.
Endoscopic Retrograde Cholangiopancreatography: Pancreatic Endoscopy.
Gastroenterol Clin North Am
December 2024
Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA. Electronic address:
Article Synopsis
- - The role of pancreatic endoscopic retrograde cholangiopancreatography (ERCP) has shifted from primarily diagnosing issues to being mainly used for therapeutic treatments, especially for conditions like pancreatitis.
- - ERCP is particularly effective in treating pancreatic duct (PD) problems, such as leaks, disruptions, strictures, and stone removals.
- - Advances in pancreatoscopy enhance ERCP's effectiveness by enabling precise treatment of conditions and aiding in the identification and surgical planning for pancreatic tumors.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!