A Case of Juvenile Idiopathic Chronic Pancreatitis with Marked Pancreatic Duct Dilatation with the Maximum Diameter of 12 mm and Pancreatic Stone

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  • 最大12mmの主膵管拡張と膵石を認めた若年性特発性慢性膵炎の1例
  • サイダイ 12mm ノ シュスイカン カクチョウ ト スイセキ オ ミトメタ ジャクネンセイ トクハツセイ マンセイスイエン ノ 1レイ

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<p>A 34-year-old man who had never taken alcohol presented with epigastric to left back pain. No increases in pancreatic enzymes were observed, and the pain resolved spontaneously within 1 week. Ultrasonography and MRCP revealed marked dilation of the pancreatic duct and a lot of pancreatic stones. He was referred to us for surgical treatment. A small incision was made in the body of the pancreas, from where pancreatic stones were removed as much as possible, and pancreaticojejunal anastomosis and R-Y reconstruction were performed. In addition, cholecystectomy was performed for suspected gallbladder polyps. Histopathological examination revealed chronic pancreatitis.</p><p>Juvenile idiopathic chronic pancreatitis is relatively rare. Although it is not well known in Japan, there is a concept of “tropical calcifying pancreatitis”, and we report a case that may be applicable in the future.</p>

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