| Dominant dorsal duct syndrome: a rare cause of acute recurrent pancreatitis in children revisited. | |
| | |
MedLine Citation:
|
PMID: 20019564 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Acute recurrent pancreatitis in children can be caused by anomalies of fusion of pancreatic ducts such as the dominant dorsal duct syndrome wherein a dominant dorsal pancreatic duct is associated with stenosis of the minor papilla. Clinical presentations and management of 2 patients are discussed. An infant presented with severe acute pancreatitis with pseudocyst formation due to an underlying ductal disruption. Surgical treatment was offered on account of failure of medical therapy and endoscopic stenting. A dominant dorsal duct with minor papilla stenosis was encountered. Sphincteroplasty of the minor papilla and lateral pancreaticojejunostomy were performed with good result. A 14-year-old boy with a type 1 choledochal cyst was troubled by recurrent acute pancreatitis. At operation, a dilated dorsal pancreatic duct opening into a stenosed minor papilla was found in addition to the choledochal cyst. Choledochal cyst excision, choledochoduodenostomy, and sphincteroplasty of the minor papilla stenosis were performed. Dominant dorsal duct syndrome is a rare cause of acute pancreatitis in children. A high index of suspicion is necessary to establish a precise diagnosis. Sphincteroplasty of the minor papilla may affect adequate pancreatic drainage and prevent recurrent pancreatitis. |
| | |
Authors:
|
Aniruddh V Deshpande; Gordon Thomas; Albert Shun; Gerard Roy; Michael Stormon; Kevin Gaskin |
Related Documents
:
|
12595564 - Analysis of helicase activity and substrate specificity of drosophila recq5. 10833904 - Hypertrophic gastritis, primary diffuse g-cell hyperplasia and pancreatic metaplasia of... 6262904 - Hypersecretion of calcitonin in patients with the verner-morrison syndrome. 245994 - Factors in the pathogenesis of the brain damage and anaemia in the lesch-nyhan syndrome. 19219454 - Cutaneous signs are important in the diagnosis of the rare neoplasia syndrome carney co... 6487184 - Bardet-biedl syndrome. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Pancreas Volume: 39 ISSN: 1536-4828 ISO Abbreviation: Pancreas Publication Date: 2010 Jan |
Date Detail:
|
Created Date: 2009-12-18 Completed Date: 2010-04-26 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8608542 Medline TA: Pancreas Country: United States |
Other Details:
|
Languages: eng Pagination: 97-100 Citation Subset: IM |
Affiliation:
|
Department of Paediatric Surgery, Children's Hospital at Westmead Sydney, Australia. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Acute Disease Adolescent Choledochal Cyst / diagnosis, surgery Humans Infant Male Pancreatic Diseases / complications, congenital Pancreatic Ducts / abnormalities* Pancreatic Pseudocyst / diagnosis, surgery Pancreatitis / diagnosis, etiology, surgery* Recurrence Retrospective Studies Syndrome Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Bone-anchored hearing aid: a comparison of surgical techniques.
Next Document: An unusual variant of anomalous pancreaticobiliary junction in a patient with pancreas divisum diagn...