A 24-year-old female patient who had suffered from recurrent bouts of acute pancreatitis for over 3 years was found on endoscopic retrograde cholangiopancreatography to have an aberrant pancreatic duct that terminated in a cyst. An aberrant lobe of pancreas had been discovered at exploratory laparotomy 3 years previously and was left untreated. Excision of the aberrant lobe of pancreas and accompanying gastric duplication cyst was curative. This case illustrates the importance of obtaining endoscopic retrograde cholangiopancreatography in all young individuals with recurrent pancreatitis to detect this rare, but curable, cause of pancreatitis.
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References
1.
HendrenWH, GreepJM, PattonAS.Pancreatitis in childhood.Arch Dis Child1965;40:132–45.
2.
BeshlianK, RyanJA.Pancreatitis in teenagers.Am Surg1986;152:133–8.
3.
BradbeerJW.An unusual foregut anomaly: An extragastric pouch communicating with the pancreatic duct.Br J Surg1959;46:603–5.
4.
Case records of the Massachusetts General Hospital: Case 1:7–1964.N Engl J Med1964;27:736–42.
5.
AkersDR, FavaraBE, FranciosiRA, NelsonJM.Duplications of the alimentary tract: Report of three unusual cases associated with bile and pancreatic ducts.Surgery1972;71:817–23.
TraversoLW, DamusPS, LongmireWP.Pancreatitis of unusual origin.Surg Gynecol Obstet1975;141:383–6.
8.
HoffmanM, SugermanHJ, HeumanD, . Gastric Duplication cyst communicating with aberrant pancreatic duct: A rare cause of acute pancreatitis.Surgery1987;101:369–72.
9.
LavineJE, HarrisonM, HeymanMB.Gastrointestinal duplications causing relapsing pancreatitis in children.Gastroenterology1989;97:1556–8.
10.
JohnstoneDW, FordeKA, MarkowitzD, . Gastric-duplication cyst communicating with the pancreatic duct: A rare cause of recurrent abdominal pain.Surgery1991;109:97–100.
11.
MossRL, RyanJA, KozarekRA, HatchEI.Pancreatitis caused by a gastric duplication communicating with an aberrant pancreatic lobe.Pediatr Surg1996;31:733–6.
12.
WieczorekRL, SeidmanI, RansonJHC, RouffM.Congenital duplication of the stomach: Case report and review of the English literature.Am Gastroenterol1984;79:597–602.
13.
MellishRWP, KoopCE.Clinical manifestations of duplication of the bowel.Pediatrics1961;27:397–407.
14.
EdwardsH.Congenital diverticula of the intestine with the report of a case exhibiting heterotopia.Br J Surg1929;17:7–21.
15.
BremerJL.Congenital Anomalies of the Viscera. Cambridge, MA: Harvard University Press, 1957.
16.
McLetchieNGB, PurvesJK, SaundersRLCH.The genesis of gastric and certain intestinal diverticula and enterogenous cyst.Surg Gynecol Obstet1954;99:135–41.
