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Acute biliary pancreatitis in a 9-year-old child treated with endoscopic sphincterotomy

A Nowak1, M Kohut, E Nowakowska-Duława

  • 1Department of Gastroenterology, Silesian Academy of Medicine, Medyków 14, 40-752 Katowice, Poland.

Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
|October 18, 2003
PubMed

Insights

Acute biliary pancreatitis in children is rare and often caused by duct anomalies or infections. This case highlights successful endoscopic treatment of a 9-year-old girl with gallstone-induced biliary pancreatitis and cholangitis.

Area of Science:

  • Pediatric Gastroenterology
  • Hepatobiliary Surgery

Background:

  • Acute biliary pancreatitis is a known complication of gallstones in adults.
  • In children, pancreatitis typically arises from congenital duct anomalies, infections, toxins, or trauma.

Observation:

  • A 9-year-old girl presented with acute biliary pancreatitis and cholangitis.
  • Endoscopic retrograde cholangiopancreatography revealed a bulging papilla with an impacted gallstone.

Findings:

  • The patient underwent successful endoscopic sphincterotomy for the impacted stone.
  • The endoscopic intervention resolved the pancreatitis and cholangitis without complications.

Implications:

  • Endoscopic retrograde cholangiopancreatography and sphincterotomy are effective treatments for pediatric biliary pancreatitis.
  • This case underscores the importance of considering gallstones as a cause of pancreatitis in children.

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