Year 2024 / Volume 116 / Number 5
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Endoscopic treatment of disconnected pancreatic duct syndrome secondary to acute necrotizing pancreatitis in a patient with pancreas divisum

276-277

DOI: 10.17235/reed.2023.9883/2023

Bárbara Morão, Juan Carrascosa Gil, Vanessa Jusué Irurita, Juan J. Vila,

Abstract
A 50-year old male with acute necrotizing pancreatitis had an unfavorable evolution in the third week of disease, with development of large volume ascites and walled-off necrosis affecting the head and body of pancreas, suspected to be infected, with viable parenchyma in the tail of pancreas. Endoscopic ultrasound guided drainage of the collection was performed through placement of a lumen apposing metal stent. Selective cannulation of main pancreatic duct was only possible though the minor papilla and after contrast media injection a type 1 pancreas divisum and partial disruption of dorsal pancreatic duct were diagnosed.
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References
1. Suhang Verma, Surinder S Rana. Disconnected pancreatic duct syndrome: updated review on clinical implications and management. Pancreatology. 2020;20(6):1035-1044
2. Satyam Satyam, Sapna Singh, Punit Kumar Sah. Disconnected pancreatic duct syndrome: a case series. Euroasian J Hepato-Gastroenterol 2022;12(1):60–63.
3. Alfredo Ortiz Sánchez, Eloísa Cervilla Sáez de Tejada, Beatriz Zúñiga de Mora Figueroa, et al. Disconnected pancreatic duct syndrome. Endoscopic approach. Rev Esp Enferm Dig. 2022;114(12):767-768.
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Morão B, Carrascosa Gil J, Jusué Irurita V, Vila J. Endoscopic treatment of disconnected pancreatic duct syndrome secondary to acute necrotizing pancreatitis in a patient with pancreas divisum. 9883/2023


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Publication history

Received: 31/07/2023

Accepted: 11/08/2023

Online First: 14/09/2023

Published: 09/05/2024

Article Online First time: 45 days

Article editing time: 283 days


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