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Gastrointestinal duplications causing relapsing pancreatitis in children
J E Lavine1, M Harrison, M B Heyman
1Department of Pediatrics, University of California, San Francisco.
Gastroenterology
|December 1, 1989
Summary
Relapsing pancreatitis in children can be caused by gastrointestinal duplications. Surgical removal of these duplications, which communicate with the pancreas, provided a cure in two pediatric cases.
Area of Science:
- Pediatric Gastroenterology
- Surgical Gastroenterology
- Pancreatology
Background:
- Recurrent pancreatitis in children necessitates identifying underlying causes.
- Intramural gastrointestinal duplications are rare congenital anomalies.
- Ductal communication between duplications and the pancreatic system can lead to pancreatic inflammation.
Observation:
- Two pediatric patients presented with recurrent pancreatitis.
- Case 1: A 6-year-old girl had a gastric duplication with ectopic pancreatic tissue in the gastric antrum.
- Case 2: A 10-year-old boy had a periampullary duodenal duplication.
Findings:
- Endoscopic retrograde cholangiopancreatography (ERCP) identified the gastric duplication and ectopic pancreatic tissue.
- Duodenoscopy and computed tomography (CT) visualized the duodenal duplication preoperatively.
- Both duplications exhibited communication with the pancreatic ductal system.
Implications:
- Intramural gastrointestinal duplications should be considered in the differential diagnosis of pediatric relapsing pancreatitis.
- Diagnostic imaging modalities like ERCP, duodenoscopy, and CT are crucial for identifying these anomalies.
- Surgical resection of the causative duplication offers a curative treatment option for this condition.
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