Pancreas Divisum Incomplete type により慢性膵炎をきたした小児の手術経験

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  • Chronic Pancreatitis Associated With Incomplete Pancreas Divisum in Childhood

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A fourteen year-old girl with chronic pancreatitis associated with incomplete pancreas divisum is reported. She had been admitted to our hospital with a history of intermittent upper abdominal pain and high levels of serum and urine amylase for a few years. Incomplete pancreas divisum with protein plugs in the pancreatic duct were shown by endoscopic retrograde chorangio-pancreaticography (ERCP). Transduodenal plasty of the accessory papilla and removal of protein plugs were performed. Although she was well symptomatically and the levels of serum and urine amylase returned within normal range in the postoperative course, protein plugs in the pancreatic duct reappeared in the ERCP at the sixth month postoperatively. She had presented with recurrent abdominal pain and high levels of serum and urine amylase again three years late. So pancreatico-jejunostomy was performed six years after the first operation. The postoperative course has been uneventful for nine months thus far.

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