Document Detail

Young female with pancreaticobiliary maljunction presenting with acute pancreatitis: a case report and review of the literature.
MedLine Citation:
PMID:  18330094     Owner:  NLM     Status:  MEDLINE    
We report a case of pancreaticobiliary maljunction which presented with acute pancreatitis. Pancreaticobiliary maljunction and its complications are mostly observed in the Asian population. There are only few western publications concerning this subject. We reviewed the literature for current knowledge and opinions concerning the pathophysiology and optimal treatment, with special emphasis on the oncologic aspect of this condition. Those patients without a choledochal cyst should at least receive a prophylactic cholecystectomy. Firstly, to prevent further pancreatitis due to biliopancreatic reflux more or less promoted by gallbladder contraction, and secondly, more important, to prevent the occurrence of gallbladder cancer. Patients with choledochal cyst should receive a prophylactic cholecystectomy, and an excision of the extrahepatic bile duct, followed by hepaticojejunostomy.
A Eyben; R Aerts; C Verslype
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Acta gastro-enterologica Belgica     Volume:  70     ISSN:  0001-5644     ISO Abbreviation:  Acta Gastroenterol. Belg.     Publication Date:    2007 Oct-Dec
Date Detail:
Created Date:  2008-03-11     Completed Date:  2008-04-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0414075     Medline TA:  Acta Gastroenterol Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  363-6     Citation Subset:  IM    
Department of Hepatology, University Hospital Gasthuisberg Leuven, Herestraat 49, B-3000 Leuven, Belgium.
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MeSH Terms
Acute Disease
Bile Duct Diseases / diagnosis
Bile Ducts / abnormalities*
Bile Ducts, Extrahepatic / pathology
Bile Ducts, Intrahepatic / pathology
Cholangiopancreatography, Endoscopic Retrograde
Common Bile Duct / abnormalities
Diagnosis, Differential
Dilatation, Pathologic / diagnosis
Pancreatic Ducts / abnormalities*
Pancreatitis / diagnosis*
Sphincterotomy, Endoscopic

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