Advances in pediatric surgery
- 제11권2호
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- Pages.175-179
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- 2005
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- 2635-8778(pISSN)
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- 2635-8786(eISSN)
십이지장 내강 내 게실로 인한 반복적인 췌장염 - 1예 보고 -
Recurrent Pancreatitis Caused by Intraluminal Duodenal Diverticulum in an 11-year-old Girl - a Case Report -
- Ji, Moon-Jong (Department of Surgery, School of Medicine, Kyungpook National University) ;
- Kang, Shin-Yong (Department of Surgery, School of Medicine, Kyungpook National University) ;
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Choe, Byung-Ho
(Department of Pediatric, School of Medicine, Kyungpook National University) ;
- Park, Jin-Young (Department of Surgery, School of Medicine, Kyungpook National University)
- 발행 : 2005.12.31
초록
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.