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Acute pancreatitis due to a duodenal ulcer.

Pyeon SI, Hwang JH, Kim YT, Lee BS, Lee SH, Lee JN, Cheong JH, Oh KJ - Clin Endosc (2014)

Bottom Line: Duodenal ulcers and acute pancreatitis are two of the most commonly encountered gastrointestinal diseases among the general population.However, duodenal ulcer-induced pancreatitis is very rarely reported worldwide.This report elaborates on a distinct medical treatment that contributes to partial or complete treatment of acute pancreatitis induced by a duodenal ulcer scar.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Busan Medical Center, Busan, Korea.

ABSTRACT
Duodenal ulcers and acute pancreatitis are two of the most commonly encountered gastrointestinal diseases among the general population. However, duodenal ulcer-induced pancreatitis is very rarely reported worldwide. This report elaborates on a distinct medical treatment that contributes to partial or complete treatment of acute pancreatitis induced by a duodenal ulcer scar.

No MeSH data available.


Related in: MedlinePlus

First endoscopic retrograde cholangiopancreatoscopy finding. (A) A linear ulcer scar on the duodenal second portion, which is accompanied with fibrotic changes around the lesion, is circumferentially observed. (B) However, any specific shapes of the ampulla are not found.
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Figure 3: First endoscopic retrograde cholangiopancreatoscopy finding. (A) A linear ulcer scar on the duodenal second portion, which is accompanied with fibrotic changes around the lesion, is circumferentially observed. (B) However, any specific shapes of the ampulla are not found.

Mentions: On the sixth day, a linear ulcer scar on the second part of the duodenum, which was accompanied by fibrotic changes around the lesion, was circumferentially observed by endoscopic retrograde cholangiopancreatoscopy (ERCP). However, any specific ampullar shapes were not detected even after scrutinizing the proximal and distal parts of the linear ulcer scar (Fig. 3). Close analysis of the ampulla conducted by another endoscopist also did not yield any meaningful results. On the 10th day, the patient's lab findings were as follows: amylase, 230 U/L; lipase, 71 U/L; hemoglobin, 14.5 g/dL; WBC, 4,950/µL; platelets, 227,000/µL; CRP, 1.08 mg/dL; AST, 20 IU/L; ALT, 14 IU/L; and total bilirubin, 0.6 mg/dL. Additionally, in magnetic resonance cholangiopancreatography (MRCP), no lesions such as anomalous pancreaticobiliary duct union (or anomalous union of the pancreaticobiliary duct [AUPBD]) were found. Only mild pancreatitis was observed (Fig. 4).


Acute pancreatitis due to a duodenal ulcer.

Pyeon SI, Hwang JH, Kim YT, Lee BS, Lee SH, Lee JN, Cheong JH, Oh KJ - Clin Endosc (2014)

First endoscopic retrograde cholangiopancreatoscopy finding. (A) A linear ulcer scar on the duodenal second portion, which is accompanied with fibrotic changes around the lesion, is circumferentially observed. (B) However, any specific shapes of the ampulla are not found.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4260110&req=5

Figure 3: First endoscopic retrograde cholangiopancreatoscopy finding. (A) A linear ulcer scar on the duodenal second portion, which is accompanied with fibrotic changes around the lesion, is circumferentially observed. (B) However, any specific shapes of the ampulla are not found.
Mentions: On the sixth day, a linear ulcer scar on the second part of the duodenum, which was accompanied by fibrotic changes around the lesion, was circumferentially observed by endoscopic retrograde cholangiopancreatoscopy (ERCP). However, any specific ampullar shapes were not detected even after scrutinizing the proximal and distal parts of the linear ulcer scar (Fig. 3). Close analysis of the ampulla conducted by another endoscopist also did not yield any meaningful results. On the 10th day, the patient's lab findings were as follows: amylase, 230 U/L; lipase, 71 U/L; hemoglobin, 14.5 g/dL; WBC, 4,950/µL; platelets, 227,000/µL; CRP, 1.08 mg/dL; AST, 20 IU/L; ALT, 14 IU/L; and total bilirubin, 0.6 mg/dL. Additionally, in magnetic resonance cholangiopancreatography (MRCP), no lesions such as anomalous pancreaticobiliary duct union (or anomalous union of the pancreaticobiliary duct [AUPBD]) were found. Only mild pancreatitis was observed (Fig. 4).

Bottom Line: Duodenal ulcers and acute pancreatitis are two of the most commonly encountered gastrointestinal diseases among the general population.However, duodenal ulcer-induced pancreatitis is very rarely reported worldwide.This report elaborates on a distinct medical treatment that contributes to partial or complete treatment of acute pancreatitis induced by a duodenal ulcer scar.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Busan Medical Center, Busan, Korea.

ABSTRACT
Duodenal ulcers and acute pancreatitis are two of the most commonly encountered gastrointestinal diseases among the general population. However, duodenal ulcer-induced pancreatitis is very rarely reported worldwide. This report elaborates on a distinct medical treatment that contributes to partial or complete treatment of acute pancreatitis induced by a duodenal ulcer scar.

No MeSH data available.


Related in: MedlinePlus