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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2014; 05(03): 116-118
DOI: 10.4103/0976-5042.147504
Case Report
Society of Gastrointestinal Endoscopy of India

An uncommon evaluation in recurrent acute pancreatitis

Mallikarjun Patil
Departments of Gastroenterology, St. John's Medical College, Bengaluru, Karnataka, India
,
Keyur A. Sheth
Departments of Gastroenterology, St. John's Medical College, Bengaluru, Karnataka, India
› Author Affiliations
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Publication History

Publication Date:
26 September 2019 (online)

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Abstract

Recurrent acute pancreatitis can be caused due to mechanical, metabolic, anatomical abnormalities and other miscellaneous causes. Among the anatomical causes, choledochoceles are rare entities that result in recurrent acute pancreatitis. Choledochoceles are different in morphological and clinical features as compared to other choledochal cysts. We present a case of 21-year-old female with recurrent episodes of acute pancreatitis due to choledochocele as etiology. She was managed with endoscopic sphincterotomy and was asymptomatic for last 24 months.

Key words

Cholangiography - choledochocele - pancreatitis - recurrent - sphincterotomy
 

  • References

  • 1 Banks PA, Bollen TL, Dervenis C, Gooszen HG, Johnson CD, Sarr MG, et al. Classification of acute pancreatitis-2012: Revision of the Atlanta classification and definitions by international consensus. Gut 2013;62:102-11.
  • 2 Kedia S, Dhingra R, Garg PK. Recurrent acute pancreatitis: An approach to diagnosis and management. Trop Gastroenterol 2013;34:123-35.
  • 3 Edil BH, Cameron JL, Reddy S, Lum Y, Lipsett PA, Nathan H, et al. Choledochal cyst disease in children and adults: A 30-year single-institution experience. J Am Coll Surg 2008;206:1000-5.
  • 4 Jesudason SR, Jesudason MR, Mukha RP, Vyas FL, Govil S, Muthusami JC. Management of adult choledochal cysts – A 15-year experience. HPB (Oxford) 2006;8:299-305.
  • 5 Law R, Topazian M. Diagnosis and treatment of choledochoceles. Clin Gastroenterol Hepatol 2014;12:196-203.
  • 6 Takuma K, Kamisawa T, Hara S, Tabata T, Kuruma S, Chiba K, et al. Etiology of recurrent acute pancreatitis, with special emphasis on pancreaticobiliary malformation. Adv Med Sci 2012;57:244-50.
  • 7 Sarris GE, Tsang D. Choledochocele: Case report, literature review, and a proposed classification. Surgery 1989;105:408-14.
  • 8 Ziegler KM, Pitt HA, Zyromski NJ, Chauhan A, Sherman S, Moffatt D, et al. Choledochoceles: Are they choledochal cysts? Ann Surg 2010;252:683-90.