[Recurrent acute pancreatitis caused by ampullar intestinal duplication filled with calculi].

Abstract

OBJECTIVES:

Anatomical anomalies are recognised but rare causes of acute pancreatitis. We report a case or a 33-year-old woman with recurrent attacks of acute pancreatitis associated with a ampullar intestinal duplication.

MATERIAL AND METHOD:

This patient was clinically studied, and a barium contrast study of the duodenum showed a filling defect in the second part of the duodenum, that was thought to be a periampullary lipoma. Endoscopic retrograde cholangiopancreatography was scheduled, but cannulation of the papillary orifice failed.

RESULTS:

Laparotomy and surgical resection of the lesion were performed. Pathological study of the specimen revealed a duodenal duplication filled with multiple calculi.

CONCLUSION:

This entity should be considered among the lesions that can cause recurrent acute pancreatitis.

• Authors: M Medina-Pérez, G García Ferris, J Caballero Gómez
• Journal: Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva (Rev Esp Enferm Dig) Vol. 89 Issue 12 Pg. 929-32 (Dec 1997) ISSN: 1130-0108 [Print] Spain
• Vernacular Title: Pancreatitis aguda recurrente por duplicación intestinal ampular repleta de cálculos.
• PMID: 9494380 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Adult
• Ampulla of Vater (abnormalities)
• Cholangiopancreatography, Endoscopic Retrograde
• Cholelithiasis (complications, surgery)
• Chronic Disease
• Duodenum (abnormalities, pathology, surgery)
• Female
• Follow-Up Studies
• Humans
• Pancreatitis (diagnosis, etiology)
• Recurrence
• Time Factors
• Tomography, X-Ray Computed