Double plastic stent implantation for recurrent acute pancreatitis with incomplete pancreas divisum: a case report and literature review
Pancreas divisum (PD) is a common pancreatic malformation caused by the failure of fusion between ventral and dorsal pancreatic ducts. There is a small branch of communication between the two systems in incomplete PD, and this variation has an incidence of 15%. A 43-year-old female patient presented...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2021-11-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605211060142 |
| _version_ | 1818852359125598208 |
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| author | Kunyi Liu Xuechen Liu Chengyi Shi Siqi Liu Hongwei Du Yan Li Na Wang Zhijie Feng Huiqing Jiang |
| author_facet | Kunyi Liu Xuechen Liu Chengyi Shi Siqi Liu Hongwei Du Yan Li Na Wang Zhijie Feng Huiqing Jiang |
| author_sort | Kunyi Liu |
| collection | DOAJ |
| description | Pancreas divisum (PD) is a common pancreatic malformation caused by the failure of fusion between ventral and dorsal pancreatic ducts. There is a small branch of communication between the two systems in incomplete PD, and this variation has an incidence of 15%. A 43-year-old female patient presented to our department with recurrent abdominal pain. Magnetic resonance cholangiopancreatography (MRCP) showed that the ventral pancreatic duct was curved, with a local pouchlike dilatation. Endoscopic ultrasonography supported the diagnosis of incomplete PD and showed a thin branch of communication between ventral and dorsal pancreatic ducts. Endoscopic retrograde cholangiopancreatography (ERCP) and papillotomy of the minor papilla with double plastic stent implantation were performed. One pancreatic plastic stent was inserted across the minor and major papilla over the guide wire, creating a U-shape. The other wire-guided plastic stent was inserted through the minor papilla into the dorsal pancreatic duct. The pancreatic fluid drained smoothly after stent placement. During the 6-month follow-up, the patient remained well, without recurrence of pancreatitis. |
| first_indexed | 2024-12-19T07:19:40Z |
| format | Article |
| id | doaj.art-8f0361b1382747149179b0fed0eebaaf |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-12-19T07:19:40Z |
| publishDate | 2021-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-8f0361b1382747149179b0fed0eebaaf2022-12-21T20:30:58ZengSAGE PublishingJournal of International Medical Research1473-23002021-11-014910.1177/03000605211060142Double plastic stent implantation for recurrent acute pancreatitis with incomplete pancreas divisum: a case report and literature reviewKunyi LiuXuechen LiuChengyi ShiSiqi LiuHongwei DuYan LiNa WangZhijie FengHuiqing JiangPancreas divisum (PD) is a common pancreatic malformation caused by the failure of fusion between ventral and dorsal pancreatic ducts. There is a small branch of communication between the two systems in incomplete PD, and this variation has an incidence of 15%. A 43-year-old female patient presented to our department with recurrent abdominal pain. Magnetic resonance cholangiopancreatography (MRCP) showed that the ventral pancreatic duct was curved, with a local pouchlike dilatation. Endoscopic ultrasonography supported the diagnosis of incomplete PD and showed a thin branch of communication between ventral and dorsal pancreatic ducts. Endoscopic retrograde cholangiopancreatography (ERCP) and papillotomy of the minor papilla with double plastic stent implantation were performed. One pancreatic plastic stent was inserted across the minor and major papilla over the guide wire, creating a U-shape. The other wire-guided plastic stent was inserted through the minor papilla into the dorsal pancreatic duct. The pancreatic fluid drained smoothly after stent placement. During the 6-month follow-up, the patient remained well, without recurrence of pancreatitis.https://doi.org/10.1177/03000605211060142 |
| spellingShingle | Kunyi Liu Xuechen Liu Chengyi Shi Siqi Liu Hongwei Du Yan Li Na Wang Zhijie Feng Huiqing Jiang Double plastic stent implantation for recurrent acute pancreatitis with incomplete pancreas divisum: a case report and literature review Journal of International Medical Research |
| title | Double plastic stent implantation for recurrent acute pancreatitis with incomplete pancreas divisum: a case report and literature review |
| title_full | Double plastic stent implantation for recurrent acute pancreatitis with incomplete pancreas divisum: a case report and literature review |
| title_fullStr | Double plastic stent implantation for recurrent acute pancreatitis with incomplete pancreas divisum: a case report and literature review |
| title_full_unstemmed | Double plastic stent implantation for recurrent acute pancreatitis with incomplete pancreas divisum: a case report and literature review |
| title_short | Double plastic stent implantation for recurrent acute pancreatitis with incomplete pancreas divisum: a case report and literature review |
| title_sort | double plastic stent implantation for recurrent acute pancreatitis with incomplete pancreas divisum a case report and literature review |
| url | https://doi.org/10.1177/03000605211060142 |
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