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[Acute pancreatitis caused by foreign bodies. 2 cases]
P Perney1, X R David, J Gislon
1Service des Maladies de l'Appareil digestif, Hôpital Saint-Eloi, Montpellier.
Presse Medicale (Paris, France : 1983)
|October 9, 1993
Summary
Foreign bodies in the ampulla of Vater can cause acute pancreatitis. Diagnosis and treatment vary, with endoscopic or surgical removal depending on the object, such as vegetal residues or a beltbuckle.
Area of Science:
- Gastroenterology
- Endoscopy
- Surgical Procedures
Background:
- Acute pancreatitis is a serious condition with various etiologies.
- Foreign body insertion into the ampulla of Vater is a rare cause of pancreatitis.
Observation:
- Two cases of acute pancreatitis due to foreign bodies (vegetal residues, beltbuckle) in the ampulla of Vater are presented.
- Patients presented with epigastric pain, jaundice, and elevated serum amylase levels.
- Diagnostic methods included endoscopic retrograde cholangiography and abdominal X-ray.
Findings:
- Foreign bodies were successfully identified in both cases.
- Endoscopic extraction was effective for vegetal residues.
- Surgical intervention was necessary for beltbuckle removal.
Implications:
- Highlights the importance of considering foreign bodies in the differential diagnosis of acute pancreatitis.
- Demonstrates the varied management strategies required for foreign body-induced pancreatitis.
- Underscores the need for prompt diagnosis and appropriate intervention to prevent complications.