Successful cruciate incision of the minor papilla in a patient with acute pancreatitis due to pancreas divisum: A case report

Pancreas divisum is a congenital anatomical anomaly characterized by a lack of fusion of the ventral and dorsal parts of the pancreas, which sometimes causes pancreatitis. Most cases of pancreas divisum are difficult to treat, and no established guidelines are currently available. Here we describe t...

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Main Authors: Takako Tasaki, Hideki Ono, Kazunari Murakami
Format: Article
Language:English
Published: Society of Turaz Bilim 2020-03-01
Series:Medicine Science
Subjects:
Online Access:http://www.ejmanager.com/fulltextpdf.php?mno=56916
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author Takako Tasaki
Hideki Ono
Kazunari Murakami
author_facet Takako Tasaki
Hideki Ono
Kazunari Murakami
author_sort Takako Tasaki
collection DOAJ
description Pancreas divisum is a congenital anatomical anomaly characterized by a lack of fusion of the ventral and dorsal parts of the pancreas, which sometimes causes pancreatitis. Most cases of pancreas divisum are difficult to treat, and no established guidelines are currently available. Here we describe the case of patient with acute recurrent pancreatitis caused by pancreas divisum who was successfully treated with cruciate sphincterotomy of the minor papilla. A 70-year-old female was admitted to our hospital due to an emergency of acute abdominal pain, which was subsequently diagnosed as acute pancreatitis caused by pancreas divisum. The patient, recalcitrant to conservative endoscopic management of minor papilla, underwent the cruciate incision of the minor papilla, which allowed drainage of the pancreatic duct. Following this intervention, the patients clinical condition and serum amylase level promptly improved. No recurrence was observed over a follow-up period of 48 months. Cruciate incision of the minor papilla is an effective and safe technique for minimally invasive treatment of pancreas divisum. [Med-Science 2020; 9(1.000): 278-80]
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spelling doaj.art-bab617554f20494ba19adaabf6b5c5282024-02-03T07:29:02ZengSociety of Turaz BilimMedicine Science2147-06342020-03-01912788010.5455/medscience.2019.08.916456916Successful cruciate incision of the minor papilla in a patient with acute pancreatitis due to pancreas divisum: A case reportTakako Tasaki0Hideki Ono1Kazunari Murakami2Akibamachi 8 24, Beppu city, Oita pref.,Japan Department of Gastroenterology, Oita prefectional Hospital Department of Gastroenterology, Oita UnivercityPancreas divisum is a congenital anatomical anomaly characterized by a lack of fusion of the ventral and dorsal parts of the pancreas, which sometimes causes pancreatitis. Most cases of pancreas divisum are difficult to treat, and no established guidelines are currently available. Here we describe the case of patient with acute recurrent pancreatitis caused by pancreas divisum who was successfully treated with cruciate sphincterotomy of the minor papilla. A 70-year-old female was admitted to our hospital due to an emergency of acute abdominal pain, which was subsequently diagnosed as acute pancreatitis caused by pancreas divisum. The patient, recalcitrant to conservative endoscopic management of minor papilla, underwent the cruciate incision of the minor papilla, which allowed drainage of the pancreatic duct. Following this intervention, the patients clinical condition and serum amylase level promptly improved. No recurrence was observed over a follow-up period of 48 months. Cruciate incision of the minor papilla is an effective and safe technique for minimally invasive treatment of pancreas divisum. [Med-Science 2020; 9(1.000): 278-80]http://www.ejmanager.com/fulltextpdf.php?mno=56916pancreas diviisumminor papillasphincterotomycruciate incisionpancreatitiscase report
spellingShingle Takako Tasaki
Hideki Ono
Kazunari Murakami
Successful cruciate incision of the minor papilla in a patient with acute pancreatitis due to pancreas divisum: A case report
Medicine Science
pancreas diviisum
minor papilla
sphincterotomy
cruciate incision
pancreatitis
case report
title Successful cruciate incision of the minor papilla in a patient with acute pancreatitis due to pancreas divisum: A case report
title_full Successful cruciate incision of the minor papilla in a patient with acute pancreatitis due to pancreas divisum: A case report
title_fullStr Successful cruciate incision of the minor papilla in a patient with acute pancreatitis due to pancreas divisum: A case report
title_full_unstemmed Successful cruciate incision of the minor papilla in a patient with acute pancreatitis due to pancreas divisum: A case report
title_short Successful cruciate incision of the minor papilla in a patient with acute pancreatitis due to pancreas divisum: A case report
title_sort successful cruciate incision of the minor papilla in a patient with acute pancreatitis due to pancreas divisum a case report
topic pancreas diviisum
minor papilla
sphincterotomy
cruciate incision
pancreatitis
case report
url http://www.ejmanager.com/fulltextpdf.php?mno=56916
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AT hidekiono successfulcruciateincisionoftheminorpapillainapatientwithacutepancreatitisduetopancreasdivisumacasereport
AT kazunarimurakami successfulcruciateincisionoftheminorpapillainapatientwithacutepancreatitisduetopancreasdivisumacasereport