Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
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Recurrent Pancreatitis Caused by Intraluminal Duodenal Diverticulum in an 11-year-old Girl - a Case Report -

십이지장 내강 내 게실로 인한 반복적인 췌장염 - 1예 보고 -

  • Ji, Moon-Jong (Department of Surgery, School of Medicine, Kyungpook National University) ;
  • Kang, Shin-Yong (Department of Surgery, School of Medicine, Kyungpook National University) ;
  • Choe, Byung-Ho (Department of Pediatric, School of Medicine, Kyungpook National University) ;
  • Park, Jin-Young (Department of Surgery, School of Medicine, Kyungpook National University)
  • 지문종 (경북대학교 의과대학 외과학교실) ;
  • 강신용 (경북대학교 의과대학 외과학교실) ;
  • 최병호 (경북대학교 의과대학 소아과학교실) ;
  • 박진영 (경북대학교 의과대학 외과학교실)
  • Published : 2005.12.31
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Abstract

An 11-year-old girl with a history of two previous attacks of acute pancreatitis was admitted to another hospital. Her epigastrium was tender, and serum amylase was 657 IU/L and lipase 3131 IU/L. Abdominal computed tomography scan suggested necrosis of 30% of the pancreas. Retrograde endoscopic cholangiopancreatography showed a diverticulum covered by normal duodenal mucosa at the second portion of the duodenum, which was separated from the adjacent duodenal lumen by a radiolucent band at UGI series. The apex of the diverticulum was incised endoscopically using a needle knife papillotome. A follow-up endoscopy on the next day noticed bleeding from the incised edge of the diverticulum. Endoscopic hemostasis with hemoclipping and injection of hypertonic saline-epinephrine solution was not successful. The patient was transferred to Kyungpook National University Hospital, and open duodenotomy and excision of the diverticulum were performed. She has recovered well and remains asymptoatic.

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