Pancreaticobiliary Maljunction with Repeated Pancreatitis Due to Protein Plugs in a Short Period

A 70-year-old woman was admitted to the hospital 1 month prior to presentation with acute pancreatitis due to pancreaticobiliary maljunction. After discharge, she was referred for elevated hepatobiliary enzyme levels. She was diagnosed with an acute pancreatitis flare-up. Computed tomography reveale...

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Bibliographic Details
Published in:Internal Medicine 2024/09/01, Vol.63(17), pp.2407-2409
Main Authors: Ariga, Hiroyuki, Kashimura, Junya, Honda, Yoshifumi, Tamano, Fumiya, Iso, Naoki, Okada, Kenta
Format: Article
Language:English
Subjects:
Aged
Balloon treatment
Case Report
Cholangiopancreatography, Endoscopic Retrograde
Computed tomography
Female
Humans
Pancreatic Ducts - abnormalities
Pancreatic Ducts - diagnostic imaging
pancreaticobiliary maljunction
Pancreaticobiliary Maljunction - complications
Pancreatitis
Pancreatitis - etiology
Proteins
Recurrence
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Description
Summary:A 70-year-old woman was admitted to the hospital 1 month prior to presentation with acute pancreatitis due to pancreaticobiliary maljunction. After discharge, she was referred for elevated hepatobiliary enzyme levels. She was diagnosed with an acute pancreatitis flare-up. Computed tomography revealed dilation of the common duct compared to the previous admission. Considering the protein plug formation as the cause, endoscopic retrograde cholangiopancreatography (ERCP) was performed after improvement. ERCP revealed a defect in the duct, suspected to be caused by protein plugs, which were removed using a balloon after endoscopic papillary balloon dilatation. An analysis revealed that this component was a protein. No recurrence of pancreatitis was observed after the treatment.
ISSN:0918-2918
1349-7235
1349-7235
DOI:10.2169/internalmedicine.2612-23