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http://dx.doi.org/10.3904/kjm.2012.82.6.709

A Case of Acute Pancreatitis after Endoscopic Biopsy in Congenital Pancreatic Duct Anomalies  

Jeong, Woo-Shin (Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
Kim, Hong-Ju (Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
Shim, Choong-Nam (Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
Heo, Woon-Je (Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
Lee, Sang-Hyuk (Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
Seol, Ji-Soo (Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
Shin, Dong-Suk (Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
Publication Information
The Korean Journal of Medicine / v.82, no.6, 2012 , pp. 709-712 More about this Journal
Abstract
Congenital anomalies or normal variants of the pancreatic duct are in most cases asymptomatic and are found incidentally while conducting imaging studies (such as a MRCP and a CT scan) for other reasons. The frequency of pancreatic duct variants has been reported to be about 9% of the general population; the most common type is a bifid configuration of the major and minor pancreatic ducts. Though most patients with pancreatic duct variants do not have any symptoms, a small number may develop jaundice or gallstones. By reporting the case of a patient with a variant pancreatic duct who developed acute pancreatitis after undergoing screening endoscopy and biopsy, this study aims to warn of the possible risks of screening endoscopy or biopsy in the second portion of the duodenum.
Keywords
cute pancreatitis; Pancreatic duct; Esophagogastroduodenoscopy;
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1 Yu J, Turner MA, Fulcher AS, Halvorsen RA. Congenital anomalies and normal variants of the pancreaticobiliary tract and the pancreas in adults: part 2, pancreatic duct and pancreas. AJR Am J Roentgenol 2006;187:1544-1553.   DOI   ScienceOn
2 Bang S, Suh JH, Park BK, Park SW, Song SY, Chung JB. The relationship of anatomic variation of pancreatic ductal system and pancreaticobiliary diseases. Yonsei Med J 2006;47:243-248.   DOI   ScienceOn
3 De Filippo M, Calabrese M, Quinto S, et al. Congenital anomalies and variations of the bile and pancreatic ducts: magnetic resonance cholangiopancreatography findings, epidemiology and clinical significance. Radiol Med 2008; 113:841-859.   DOI   ScienceOn
4 Gincul R, Ciocirlan M, Dumortier J, et al. Severe acute pancreatitis following endoscopic biopsy of the minor duodenal papilla. Endoscopy 2009;41(Suppl 2):E195-E196.   DOI
5 Kamisawa T. Clinical significance of the minor duodenal papilla and accessory pancreatic duct. J Gastroenterol 2004;39:605-615.
6 Kamisawa T, Yuyang T, Egawa N, Ishiwata J, Okamoto A. Patency of the accessory pancreatic duct in relation to its course and shape: a dye-injection endoscopic retrograde pancreatography study. Am J Gastroenterol 1998;93: 2135-2140.   DOI   ScienceOn
7 Tabata T, Kamisawa T, Takuma K, et al. Does a patent accessory pancreatic duct prevent acute pancreatitis? Dig Endosc 2010;22:297-301.   DOI   ScienceOn
8 Kamisawa T, Egawa N, Nakajima H, Sakaki N, Tsuruta K, Okamoto A. Clinical significance of the accessory pancreatic duct. Hepatogastroenterology 2003;50:2196-2198.
9 Jeong JB, Whang JH, Ryu JK, Yoon YB, Kim YT. Risk factors for pancreatitis in patients with anomalous union of pancreatobiliary duct. Hepatogastroenterology 2004;51: 1187-1190.
10 Hwang JH, Lee SH, Kwon HJ, et al. An anomalous union of the pancreaticobiliary duct that was treated by drainage of the accessory ampulla. Korean J Med 2007;72:546-550.