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Chronic obstructive pancreatitis associated with gallstone in a child
Summary
A 15-year-old girl with obstructive pancreatitis due to a gallstone and pancreatic calculus underwent successful pancreaticogastrostomy. The pancreatic calculus was removed, resolving the obstruction.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Chronic obstructive pancreatitis is a rare condition, particularly in adolescents.
- Gallstones and pancreatic calculi can cause significant pancreatic duct obstruction.
Observation:
- A 15-year-old female presented with symptoms of chronic obstructive pancreatitis.
- Imaging revealed an impacted gallstone in the ampulla of Vater and a large intraductal pancreatic calculus.
Findings:
- The primary cause was identified as an ampullary gallstone, with a secondary large intraductal pancreatic calculus.
- Surgical intervention involved a pancreaticogastrostomy to remove the pancreatic calculus.
Implications:
- This case highlights the importance of considering gallstone and pancreatic calculus etiology in adolescent pancreatitis.
- Successful surgical removal of pancreatic calculi can resolve obstructive pancreatitis.