| Autor: |
Yong Hyeok Choi, Soon Man Yoon, Eun Bee Kim, Youngmin Oh, Keunmo Kim, Jisun Lee, Seon Mee Park, Sei Jin Youn |
| Jazyk: |
English<br />Korean |
| Rok vydání: |
2017 |
| Předmět: |
|
| Zdroj: |
The Korean Journal of Gastroenterology, Vol 69, Iss 4, Pp 248-252 (2017) |
| Druh dokumentu: |
article |
| ISSN: |
1598-9992 |
| DOI: |
10.4166/kjg.2017.69.4.248 |
| Popis: |
Peptic ulcer bleeding is treated using endoscopic hemostasis using clips or bands. Pancreas divisum (PD), a congenital anomaly of the pancreas, usually has no clinical symptoms; however, pancreatitis may occur if there are disturbances in the drainage of pancreatic secretions. We report an unusual case of PD accompanied by acute pancreatitis, following endoscopic band ligation for duodenal ulcer bleeding. A 48-year-old woman was admitted to our hospital due to melena. An upper endoscopy revealed a small ulcer with oozing adjacent minor papilla. An endoscopic band ligation was performed on this lesion. Acute pancreatitis developed suddenly 6 hours after the band ligation and improved dramatically after removal of the band. Magnetic resonance cholangiopancreatography was performed, revealing complete PD. Endoscopic band ligation is known as the effective method for peptic ulcer bleeding; however, it should be used carefully in duodenal ulcer bleeding near the minor duodenal papilla due to the possibility of PD. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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