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Antecedentes La pancreatitis es una enfermedad rara. La obstruccion es comun y se puede corregir con endoscopia; si fracasa, necesitara cirugia. Caso clinico Reportamos un paciente con pancreatitis secundaria a pancreas divisum. Se realizo derivacion tipo DuVal laparoscopica. Varon de 12 anos, con multiples cuadros de pancreatitis y fallidos intentos de esfinteroplastias. La colangiorresonancia mostro pancreas divisum. Se realizo una derivacion tipo DuVal por laparoscopia. Seguimiento de 5 anos. No ha habido recurrencia del dolor y la lipasa se normalizo a los 6 meses. El conducto pancreatico no estaba dilatado. Ante la dificultad para hacer una anastomosis lateral se utilizo la tecnica laparoscopica propuesta por DuVal. Background Pancreatitis is rare. Obstruction is common. They can be corrected with endoscopy, if they fail they need surgery. Case report We reported a patient with pancreatitis secondary to pancreas divisum, laparoscopic DuVal shunt was performed. Male 12 years, multiple pancreatitis pictures and failed sphinteroplasty attempts. Colangio resonance showed pancreas divisum. A DuVal-type shunt was built for laparoscopy. Follow-up 5 years. There has been no recurrence of pain and lipase was normalized at 6 months. The pancreatic duct was not dilated, in the face of difficulty making a lateral anastomosis was used the technique proposed by DuVal by laparoscopic approach. |
