Young female with pancreaticobiliary maljunction presenting with acute pancreatitis : a case report and review of the literature
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 knowle...
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| Veröffentlicht in: | Acta gastro-enterologica belgica 2007-10, Vol.70 (4), p.363-366 |
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| creator | EYBEN, A AERTS, R VERSLYPE, C |
| description | 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. |
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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.</description><identifier>ISSN: 1784-3227</identifier><identifier>PMID: 18330094</identifier><language>eng</language><publisher>Brussels: Société Royale Belge de Gastro-Entérologie</publisher><subject>Acute Disease ; Adult ; Bile Duct Diseases - diagnosis ; Bile Ducts - abnormalities ; Bile Ducts, Extrahepatic - pathology ; Bile Ducts, Intrahepatic - pathology ; Biological and medical sciences ; Cholangiopancreatography, Endoscopic Retrograde ; Common Bile Duct - abnormalities ; Diagnosis, Differential ; Dilatation, Pathologic - diagnosis ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Medical sciences ; Other diseases. 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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.</description><subject>Acute Disease</subject><subject>Adult</subject><subject>Bile Duct Diseases - diagnosis</subject><subject>Bile Ducts - abnormalities</subject><subject>Bile Ducts, Extrahepatic - pathology</subject><subject>Bile Ducts, Intrahepatic - pathology</subject><subject>Biological and medical sciences</subject><subject>Cholangiopancreatography, Endoscopic Retrograde</subject><subject>Common Bile Duct - abnormalities</subject><subject>Diagnosis, Differential</subject><subject>Dilatation, Pathologic - diagnosis</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Medical sciences</subject><subject>Other diseases. Semiology</subject><subject>Pancreatic Ducts - abnormalities</subject><subject>Pancreatitis - diagnosis</subject><subject>Sphincterotomy, Endoscopic</subject><issn>1784-3227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkD1PwzAQhjOAaFX6F5AX2CL5I7UTNlTxJVVigYEpujgX6sqJg-1QsfHTMVDglrvTPe8r3XuUzZkqi1xwrmbZMoQdTVUVjHJ6ks1YKcTXOs8-nt00vJAOe7BI9iZuyQiD9gjRaNcYa8C_k3TcTYOOxg1k9BhwiCapvnHQU8R_UTSBXBIgGgISj6PzkcDQpvHN4J64jsQtEmsieoiTx9PsuAMbcHnoi-zp5vpxfZdvHm7v11ebfGSyivlKKmStaoBJITmFspNSV00HLVOomAJJ2YpLLUXBK81FAbITKBtsmrYoq1Yssosf39G71wlDrHsTNFoLA7op1IoyKqkQCTw7gFPTY1uP3vQpg_o3swScHwAIGmzn0-sm_HGcUik44-ITKMt3VQ</recordid><startdate>20071001</startdate><enddate>20071001</enddate><creator>EYBEN, A</creator><creator>AERTS, R</creator><creator>VERSLYPE, C</creator><general>Société Royale Belge de Gastro-Entérologie</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20071001</creationdate><title>Young female with pancreaticobiliary maljunction presenting with acute pancreatitis : a case report and review of the literature</title><author>EYBEN, A ; AERTS, R ; VERSLYPE, C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p169t-567e1d7ba163620a8f66c9bfad17e717a601526c63429c234a6f3e6bebbd489d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Acute Disease</topic><topic>Adult</topic><topic>Bile Duct Diseases - diagnosis</topic><topic>Bile Ducts - abnormalities</topic><topic>Bile Ducts, Extrahepatic - pathology</topic><topic>Bile Ducts, Intrahepatic - pathology</topic><topic>Biological and medical sciences</topic><topic>Cholangiopancreatography, Endoscopic Retrograde</topic><topic>Common Bile Duct - abnormalities</topic><topic>Diagnosis, Differential</topic><topic>Dilatation, Pathologic - diagnosis</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Medical sciences</topic><topic>Other diseases. Semiology</topic><topic>Pancreatic Ducts - abnormalities</topic><topic>Pancreatitis - diagnosis</topic><topic>Sphincterotomy, Endoscopic</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>EYBEN, A</creatorcontrib><creatorcontrib>AERTS, R</creatorcontrib><creatorcontrib>VERSLYPE, C</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Acta gastro-enterologica belgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>EYBEN, A</au><au>AERTS, R</au><au>VERSLYPE, C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Young female with pancreaticobiliary maljunction presenting with acute pancreatitis : a case report and review of the literature</atitle><jtitle>Acta gastro-enterologica belgica</jtitle><addtitle>Acta Gastroenterol Belg</addtitle><date>2007-10-01</date><risdate>2007</risdate><volume>70</volume><issue>4</issue><spage>363</spage><epage>366</epage><pages>363-366</pages><issn>1784-3227</issn><abstract>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.</abstract><cop>Brussels</cop><pub>Société Royale Belge de Gastro-Entérologie</pub><pmid>18330094</pmid><tpages>4</tpages></addata></record> |
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| ispartof | Acta gastro-enterologica belgica, 2007-10, Vol.70 (4), p.363-366 |
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| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Acute Disease Adult Bile Duct Diseases - diagnosis Bile Ducts - abnormalities Bile Ducts, Extrahepatic - pathology Bile Ducts, Intrahepatic - pathology Biological and medical sciences Cholangiopancreatography, Endoscopic Retrograde Common Bile Duct - abnormalities Diagnosis, Differential Dilatation, Pathologic - diagnosis Female Gastroenterology. Liver. Pancreas. Abdomen Humans Liver. Biliary tract. Portal circulation. Exocrine pancreas Medical sciences Other diseases. Semiology Pancreatic Ducts - abnormalities Pancreatitis - diagnosis Sphincterotomy, Endoscopic |
| title | Young female with pancreaticobiliary maljunction presenting with acute pancreatitis : a case report and review of the literature |
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