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급성 췌장염을 동반한 불완전 분할췌와 담췌관합류이상 기형이 동반된 소아 환자의 내시경 치료

Other Titles
 Endoscopic Treatment of a Pediatric Patient with Acute Pancreatitis Caused by Anomalous Union of Pancreaticobiliary Duct Combined with Incomplete Pancreatic Divisum 
 박준범  ;  서주희  ;  박정엽  ;  박승우  ;  송시영  ;  정재복  ;  방승민 
 Korean Journal of Gastroenterology, Vol.54(5) : 333-336, 2009 
Journal Title
 Korean Journal of Gastroenterology (대한소화기학회지) 
Issue Date
Pancreas divisum ; Anomalous pancreaticobiliary ductal union ; Pediatrics ; Acute pancreatitis
The most common causes of acute pancreatitis are microlithiasis and alcohol. In pediatrics, anomalies in pancreaticobiliary system should be considered as possible causes. Among many anomalies, pancreas divisum associated with anomalous pancreaticobiliary ductal union (APBDU) is very rare. APBDU is associated with acute pancreatitis, choledochal cyst, and gallbladder cancer. Pancreas divisum is also a well known cause of acute recurrent pancreatitis. In adult cases with such conditions, the role of endoscopic management including sphincterotomy or stenting through the Santorini duct is well documented. However, it is still controversial to perform endoscopic retrograde cholangiopancreatography in pediatrics. Herein, we experienced a case of 4 year 7 month old female patient suffered from recurrent attacks of acute pancreatitis, which were caused by APBDU and incomplete pancreas divisum. She was treated by endoscopic sphincteretomy of both openings to the Santorini`s and Wirsung`s ducts. Thus, we report this interesting case with literature review.
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1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Park, Seung Woo(박승우) ORCID logo https://orcid.org/0000-0001-8230-964X
Park, Jeong Youp(박정엽) ORCID logo https://orcid.org/0000-0003-0110-8606
Park, Jun Beom(박준범)
Bang, Seungmin(방승민) ORCID logo https://orcid.org/0000-0001-5209-8351
Seo, Ju Hee(서주희)
Song, Si Young(송시영) ORCID logo https://orcid.org/0000-0002-1417-4314
Chung, Jae Bock(정재복)
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