Successful Endoscopic Treatment of Accessory Pancreatic Duct Stones in an Elderly Patient with Igg-4 Related Disease: A Case Report and Literature Reviews
Keywords:
Abstract
A 93 year old patient who had an acute pancreatitis caused by the obstruction of the pancreatic duct stone is described in this study. He had a history of IgG4-related disease and refused to accept steroid therapy. Abdominal CT and MRCP imagines showed that multiple calculi were located in the pancreatic and the pancreatic duct was stretched. The patient underwent Endoscopic Retrograde Cholangiopan-creatography detection after a multidisciplinary consultation. Yet, the catheter can't be inserted into the major pancreatic duct owning to the hyperemia of duodenal papilla, although endoscopic sphincterotomy was performed. Fortunately, The minor duct was cannulated with a standard sphincterotome, and a sphincterotomy was performed followed by successful extraction of the pancreatic stone(1.0×0.8cm). Since then the patient had no epigastric pain and had a good quality of life. Three years later, he came to our department again for diarrhea.
Downloads
- Article PDF
- TEI XML Kaleidoscope (download in zip)* (Beta by AI)
- Lens* NISO JATS XML (Beta by AI)
- HTML Kaleidoscope* (Beta by AI)
- DBK XML Kaleidoscope (download in zip)* (Beta by AI)
- LaTeX pdf Kaleidoscope* (Beta by AI)
- EPUB Kaleidoscope* (Beta by AI)
- MD Kaleidoscope* (Beta by AI)
- FO Kaleidoscope* (Beta by AI)
- BIB Kaleidoscope* (Beta by AI)
- LaTeX Kaleidoscope* (Beta by AI)
How to Cite
References
A Mariani, J P Bernard, M Provansal-Cheylan (1991) Differences of pancreatic stone morphology and content in patients with pancreatic lithiasis. 36, 1509-1516.
R Ammann, R Muench, R Otto, H Buehler, A Freiburghaus, W Siegenthaler (1988) Evolution and regression of pancreatic calcification in chronic pancreatitis. 95(4), 1018-1028.
J-M Dumonceau, M Delhaye, A Tringali, J Dominguez-Munoz, J-W Poley, M Arvanitaki, G Costamagna, F Costea, J Devière, P Eisendrath, S Lakhtakia, N Reddy, P Fockens, T Ponchon, M Bruno (2012) Endoscopic treatment of chronic pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. 44(08), 784-800.
Shigeru Ko, Sakiko Azuma, Toshiyuki Yoshikawa, Akiko Yamamoto, Kazuhiro Kyokane, Minoru Ko, Hiroshi Ishiguro (2012) Molecular Mechanisms of Pancreatic Stone Formation in Chronic Pancreatitis. 3, 415.
B Liu, T Zhang, Y Zhao (2010) Pancreatic duct stones in patients with chronic pancreatitis: surgical outcomes. 9, 423-427.
Alexander Aghdassi, Julia Mayerle, Sandra Christochowitz, Frank Weiss, Matthias Sendler, Markus Lerch (2011) Animal models for investigating chronic pancreatitis. 4(1), 26.
B Girish, K Vaidyanathan, G Rajesh (2012) Effects of micronutrient status on oxidative stress and exocrine pancreatic function in patients with chronic pancreatitis. 49, 386-391.
K Komatsu, H Hamano, Y Ochi (2005) High prevalence of hypothyroidism in patients with autoimmune pancreatitis. 50, 1052-1057.
Eun Choi, Glen Lehman (2012) Update on Endoscopic Management of Main Pancreatic Duct Stones in Chronic Calcific Pancreatitis. 27(1), 20.
K Okazaki, K Uchida, H Miyoshi (2011) Recent concepts of autoimmune pancreatitis and IgG4 related disease. 41, 126-138.
Kazuichi Okazaki, Kazushige Uchida, Masanori Koyabu, Hideaki Miyoshi, Makoto Takaoka (2011) Recent advances in the concept and diagnosis of autoimmune pancreatitis and IgG4-related disease. 46(3), 277-288.
Mollie Carruthers, John Stone, Arezou Khosroshahi (2012) The latest on IgG4-RD. 24(1), 60-69.
Published
2013-07-09
Issue
Section
License
Copyright (c) 2013 Authors and Global Journals Private Limited
This work is licensed under a Creative Commons Attribution 4.0 International License.