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Chronic relapsing pancreatitis in childhood
Journal of Pediatric Surgery
|October 1, 1981
Summary
Idiopathic chronic relapsing pancreatitis is a rare childhood condition causing severe abdominal pain. Early diagnosis via imaging and elevated amylase, followed by surgery, leads to excellent outcomes.
Area of Science:
- Pediatric Gastroenterology
- Hepatology
- Pancreatology
Background:
- Idiopathic chronic relapsing pancreatitis (ICRP) is a rare condition in children.
- It presents as a significant cause of recurrent abdominal pain in pediatric patients.
- Understanding ICRP is crucial for effective pediatric gastrointestinal care.
Observation:
- A case of childhood ICRP is presented and compared with 12 prior reports.
- The condition is characterized by severe, recurrent abdominal pain.
- Diagnostic indicators include elevated serum/urine amylase and pancreatic calcifications.
Findings:
- Imaging modalities like ultrasound, CT, and ERCP are vital for diagnosis.
- Endoscopic retrograde cholangiopancreatography (ERCP) was instrumental in this case.
- Surgical intervention has demonstrated excellent therapeutic results.
Implications:
- This case highlights the importance of considering ICRP in pediatric abdominal pain evaluations.
- Accurate diagnosis through advanced imaging and biochemical markers is key.
- Prompt surgical treatment offers a highly effective management strategy for ICRP.