Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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Recurrent Acute Pancreatitis Associated with Sphincter of Oddi Dysfunction in a Child

오디 괄약근 기능 이상으로 인한 소아의 재발 급성 췌장염 1예

  • Choi, Byung-Ho (Department of Pediatrics, Kyungpook National University School of Medicine) ;
  • Park, Sun-Min (Department of Pediatrics, Kyungpook National University School of Medicine) ;
  • Kim, Ho-Gak (Department of Internal Medicine, Catholic University of Daegu School of Medicine) ;
  • Kim, Jung-Mi (Department of Pediatrics, Kyungpook National University School of Medicine) ;
  • Hong, Suk-Jin (Department of Pediatrics, Kyungpook National University School of Medicine) ;
  • Kim, Jung-Ok (Department of Pediatrics, Kyungpook National University School of Medicine) ;
  • Cho, Min-Hyun (Department of Pediatrics, Kyungpook National University School of Medicine) ;
  • Choe, Byung-Ho (Department of Pediatrics, Kyungpook National University School of Medicine)
  • 최병호 (경북대학교 의과대학 소아과학교실) ;
  • 박선민 (경북대학교 의과대학 소아과학교실) ;
  • 김호각 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 김정미 (경북대학교 의과대학 소아과학교실) ;
  • 홍석진 (경북대학교 의과대학 소아과학교실) ;
  • 김정옥 (경북대학교 의과대학 소아과학교실) ;
  • 조민현 (경북대학교 의과대학 소아과학교실) ;
  • 최병호 (경북대학교 의과대학 소아과학교실)
  • Received : 2008.07.22
  • Accepted : 2008.08.28
  • Published : 2008.09.30
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Abstract

Recent studies suggest that sphincter of Oddi dysfunction (SOD) is one of the possible causes of unexplained recurrent acute pancreatitis in children. A 14-year-old boy who had suffered from idiopathic recurrent acute pancreatitis was diagnosed with SOD. Abdominal ultrasonography, computerized tomography, and magnetic resonance cholangiopancreatography revealed no evidence of stone, tumor, or pancreatic ductal anomaly. Endoscopic retrograde cholangiopancreatography (ERCP) and sphincter of Oddi manometry (SOM) revealed elevated basal pressure and tachyoddia consistent with SOD. Hence, an endoscopic pancreatic sphincterotomy was performed. We report a case of recurrent acute pancreatitis associated with SOD in a child. ERCP and SOM may be considered in patients with multiple unexplained attacks of pancreatic pain and negative abdominal imaging.

저자 등은 원인이 확실하지 않았던 재발성 급성 췌장염의 14세 소아 환자에서 오디 괄약근 운동 검사로 오디 괄약근 운동 이상을 진단하고, 내시경 췌관 유두 괄약근 절개술을 시행하여 치료한 증례를 경험하였기에 보고한다.

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