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[Acute recurrent pancreatitis in a patient with Oddi's sphincter dysfunction]
1Servicio de Aparato Digestivo, Centre Hospitalari de Manresa, Hospital La Fe, Valencia.
Gastroenterologia Y Hepatologia
|July 20, 1999
Summary
Sphincter of Oddi (SO) dysfunction can cause recurrent idiopathic pancreatitis. Manometry confirmed SO dysfunction in a young patient, who remained asymptomatic after 12 months of nifedipine treatment.
Area of Science:
- Gastroenterology
- Pancreatology
- Biliary Medicine
Background:
- Alcohol and gallstones are primary causes of acute pancreatitis.
- Idiopathic pancreatitis cases lack clear etiology despite diagnostic workup.
- Sphincter of Oddi (SO) dysfunction is a rare but significant cause of recurrent acute pancreatitis.
Observation:
- A young patient presented with recurrent idiopathic pancreatitis.
- Diagnostic procedures including imaging and blood tests were inconclusive.
- Sphincter of Oddi (SO) manometry was employed to investigate the cause.
Findings:
- SO manometry revealed Sphincter of Oddi (SO) dysfunction.
- The patient was treated with oral nifedipine 10 mg.
- A 12-month follow-up showed the patient remained asymptomatic.
Implications:
- SO dysfunction is a key factor in some idiopathic pancreatitis cases.
- Nifedipine may be an effective treatment for SO dysfunction-related pancreatitis.
- This case highlights the diagnostic value of SO manometry and therapeutic potential of nifedipine.