Document Detail

Calcifying pancreatitis of a congenital short pancreas: a case report with successful endoscopic papillotomy.
MedLine Citation:
PMID:  3687908     Owner:  NLM     Status:  MEDLINE    
We report a case of partial pancreatic agenesis in a 25-yr-old man with insulin-dependent diabetes who exhibited abdominal pains in relation to a calcifying chronic pancreatitis. An endoscopic retrograde pancreatography through the accessory papilla revealed an abnormal duct configuration thought to be consistent with an obstruction of the main duct. Ultrasonography and computerized tomography scanning could not identify any pancreatic tissue in the region of the body or tail. Another endoscopic investigation revealed the main papilla in the third part of the duodenum. The ducts of Santorini and Wirsung were identified. Santorini's duct was dilated and contained calculi. Wirsung's duct was nearly normal. The junction between the two ducts was slightly narrowed. After papillotomy of the accessory papilla, the patient's abdominal pains disappeared. This new case of congenital short pancreas is discussed in relation to four other cases reported in the English and French literature.
J F Bretagne; P Darnault; J L Raoul; Y Gandon; M Gosselin; P Cousin; J Gastard
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of gastroenterology     Volume:  82     ISSN:  0002-9270     ISO Abbreviation:  Am. J. Gastroenterol.     Publication Date:  1987 Dec 
Date Detail:
Created Date:  1988-01-20     Completed Date:  1988-01-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0421030     Medline TA:  Am J Gastroenterol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1314-7     Citation Subset:  IM    
Department of Gastroenterology, CHU Pontchaillou, Rennes, France.
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MeSH Terms
Calcinosis / pathology*,  surgery
Chronic Disease
Diabetes Mellitus, Type 1 / pathology
Pancreas / abnormalities*
Pancreatic Diseases / pathology,  surgery
Pancreatitis / pathology*,  surgery

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