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An Impacted Pancreatic Stone in the Papilla Induced Acute Obstructive Cholangitis in a Patient with Chronic Pancreatitis
Obstructive jaundice is very rarely caused by impaction of a pancreatic stone in the papilla. We report here on a case of obstructive jaundice with acute cholangitis that was caused by an impacted pancreatic stone in the papilla in a patient with chronic pancreatitis. A 48-year-old man presented wit...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Society of Gastrointestinal Endoscopy
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3363128/ https://www.ncbi.nlm.nih.gov/pubmed/22741140 http://dx.doi.org/10.5946/ce.2012.45.1.99 |
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author | Yoo, Kwang-Ho Kwon, Chang-Il Yoon, Sang-Wook Kim, Won Hee Lee, Jung Min Ko, Kwang Hyun Hong, Sung Pyo Park, Pil Won |
author_facet | Yoo, Kwang-Ho Kwon, Chang-Il Yoon, Sang-Wook Kim, Won Hee Lee, Jung Min Ko, Kwang Hyun Hong, Sung Pyo Park, Pil Won |
author_sort | Yoo, Kwang-Ho |
collection | PubMed |
description | Obstructive jaundice is very rarely caused by impaction of a pancreatic stone in the papilla. We report here on a case of obstructive jaundice with acute cholangitis that was caused by an impacted pancreatic stone in the papilla in a patient with chronic pancreatitis. A 48-year-old man presented with acute obstructive cholangitis. Abdominal computed tomography with the reconstructed image revealed distal biliary obstruction that was caused by a pancreatic stone in the pancreatic head, and there was also pancreatic ductal dilatation and parenchymal atrophy of the pancreatic body and tail with multiple calcifications. Emergency duodenoscopy revealed an impacted pancreatic stone in the papilla. Precut papillotomy using a needle knife was performed, followed by removal of the pancreatic stone using grasping forceps. After additional sphincterotomy, a large amount of dark-greenish bile juice gushed out. The patient rapidly improved and he has remained well. |
format | Online Article Text |
id | pubmed-3363128 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | The Korean Society of Gastrointestinal Endoscopy |
record_format | MEDLINE/PubMed |
spelling | pubmed-33631282012-06-27 An Impacted Pancreatic Stone in the Papilla Induced Acute Obstructive Cholangitis in a Patient with Chronic Pancreatitis Yoo, Kwang-Ho Kwon, Chang-Il Yoon, Sang-Wook Kim, Won Hee Lee, Jung Min Ko, Kwang Hyun Hong, Sung Pyo Park, Pil Won Clin Endosc Case Report Obstructive jaundice is very rarely caused by impaction of a pancreatic stone in the papilla. We report here on a case of obstructive jaundice with acute cholangitis that was caused by an impacted pancreatic stone in the papilla in a patient with chronic pancreatitis. A 48-year-old man presented with acute obstructive cholangitis. Abdominal computed tomography with the reconstructed image revealed distal biliary obstruction that was caused by a pancreatic stone in the pancreatic head, and there was also pancreatic ductal dilatation and parenchymal atrophy of the pancreatic body and tail with multiple calcifications. Emergency duodenoscopy revealed an impacted pancreatic stone in the papilla. Precut papillotomy using a needle knife was performed, followed by removal of the pancreatic stone using grasping forceps. After additional sphincterotomy, a large amount of dark-greenish bile juice gushed out. The patient rapidly improved and he has remained well. The Korean Society of Gastrointestinal Endoscopy 2012-03 2012-03-31 /pmc/articles/PMC3363128/ /pubmed/22741140 http://dx.doi.org/10.5946/ce.2012.45.1.99 Text en Copyright © 2012 The Korean Society of Gastrointestinal Endoscopy http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Yoo, Kwang-Ho Kwon, Chang-Il Yoon, Sang-Wook Kim, Won Hee Lee, Jung Min Ko, Kwang Hyun Hong, Sung Pyo Park, Pil Won An Impacted Pancreatic Stone in the Papilla Induced Acute Obstructive Cholangitis in a Patient with Chronic Pancreatitis |
title | An Impacted Pancreatic Stone in the Papilla Induced Acute Obstructive Cholangitis in a Patient with Chronic Pancreatitis |
title_full | An Impacted Pancreatic Stone in the Papilla Induced Acute Obstructive Cholangitis in a Patient with Chronic Pancreatitis |
title_fullStr | An Impacted Pancreatic Stone in the Papilla Induced Acute Obstructive Cholangitis in a Patient with Chronic Pancreatitis |
title_full_unstemmed | An Impacted Pancreatic Stone in the Papilla Induced Acute Obstructive Cholangitis in a Patient with Chronic Pancreatitis |
title_short | An Impacted Pancreatic Stone in the Papilla Induced Acute Obstructive Cholangitis in a Patient with Chronic Pancreatitis |
title_sort | impacted pancreatic stone in the papilla induced acute obstructive cholangitis in a patient with chronic pancreatitis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3363128/ https://www.ncbi.nlm.nih.gov/pubmed/22741140 http://dx.doi.org/10.5946/ce.2012.45.1.99 |
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