Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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A Case of Chronic Relapsing Pancreatitis with Multiple Pancreatic Stones in Childhood

다발성 췌관석에 의한 만성 재발성 췌장염 1례

  • Lee, Seung -Yeon (Department of Pediatrics, College of Medicine, Yonsei University) ;
  • Um, Ji-Hyun (Department of Pediatrics, College of Medicine, Yonsei University) ;
  • Chung, Ki-Sup (Department of Pediatrics, College of Medicine, Yonsei University) ;
  • Kim, Myung-Joon (Department of Diagnostic Radiology, College of Medicine, Yonsei University)
  • 이승연 (연세대학교 의과대학 소아과학교실) ;
  • 엄지현 (연세대학교 의과대학 소아과학교실) ;
  • 정기섭 (연세대학교 의과대학 소아과학교실) ;
  • 김명준 (연세대학교 의과대학 진단방사선과학교실)
  • Received : 2001.09.10
  • Accepted : 2001.09.18
  • Published : 2001.09.30
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Abstract

Chronic pancreatitis is a rare problem in childhood and sometimes shows pancreatic calcification. The most common symptom is recurrent upper abdominal pain with or without associated nausea or vomiting. Pancreatic calcifications are virtually pathognomonic of chronic pancreatitis. In our case, however, chronic pancreatitis caused by multiple pancreatic stones in dilated pancreatic duct, which was very rare in childhood. Endoscopic retrograde cholangiopancreaticography (ERCP) is valuable in confirming the diagnosis and decision making process for further medical or surgical management of pancreatic disease. We experienced a case of chronic relapsing pancreatitis with pancreatic stones in 13-year-old girl who presented with recurrent upper abdominal pain. She was investigated with ERCP and treated by endoscopic sphincterotomy of sphincter of Oddi and by some stone removal with endoscopic basket. We report this case and review related literatures briefly.

저자들은 반복적으로 췌장염을 앓은 여아에서 상복부 동통을 주소로 내원하여 MRCP와 ERCP를 통해 다발성 췌관석이 원인인 만성 재발성 췌장염 1례를 치험하였기에 보고하는 바이다.

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