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Pancreaticobiliary fistula associated with pancreatolithiasis.
Clin J Gastroenterol. 2009 Jun; 2(3):226-231.CJ

Abstract

We report here a case of pancreaticobiliary fistula associated with pancreatolithiasis. A 47-year-old female without a habit of alcohol drinking was admitted by her family physician after suffering from mild acute pancreatitis. Computed tomography revealed mild acute pancreatitis with pancreatolithiasis at the head of the pancreas. The pancreatolithiasis was exposed to the inner surface of the common bile duct and possibly compressed and narrowed the Wirsung and Santorini ducts, resulting in the pancreatitis attack. We used extracorporeal shock wave lithotripsy to treat the pancreatolithiasis. After complete elimination of stones by extracorporeal shock wave lithotripsy, endoscopic retrograde cholangiography showed an apparent pancreaticobiliary fistula between a branch of the Santorini duct and the lower portion of the common bile duct. There was no communication between the bile duct and the Wirsung duct or its branches; therefore, the diagnosis was not pancreaticobiliary maljunction. There have only been a few reports of pancreaticobiliary fistula without an association with pancreatic pseudocysts or intraductal papillary-mucinous pancreatic neoplasm, and there have only been few reports of pancreaticobiliary fistula with pancreatolithiasis.

Authors+Show Affiliations

Department of Gastroenterology, Shinshu University School of Medicine, 3-1-1 Matsumoto, Nagano, 390-8621, Japan. arakuran@shinshu-u.ac.jp.Department of Gastroenterology, Shinshu University School of Medicine, 3-1-1 Matsumoto, Nagano, 390-8621, Japan.Department of Internal Medicine, Japanese Red Cross Iiyama Hospital, Nagano, Japan.Department of Gastroenterology, Shinshu University School of Medicine, 3-1-1 Matsumoto, Nagano, 390-8621, Japan.Department of Gastroenterology, Shinshu University School of Medicine, 3-1-1 Matsumoto, Nagano, 390-8621, Japan.Department of Gastroenterology, Shinshu University School of Medicine, 3-1-1 Matsumoto, Nagano, 390-8621, Japan.Department of Gastroenterology, Shinshu University School of Medicine, 3-1-1 Matsumoto, Nagano, 390-8621, Japan.Department of Gastroenterology, Shinshu University School of Medicine, 3-1-1 Matsumoto, Nagano, 390-8621, Japan.Department of Gastroenterology, Shinshu University School of Medicine, 3-1-1 Matsumoto, Nagano, 390-8621, Japan.Health, Safety and Environmental Management, Shinshu University, 3-1-1 Matsumoto, Nagano, 390-8621, Japan.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26192302

Citation

Arakura, Norikazu, et al. "Pancreaticobiliary Fistula Associated With Pancreatolithiasis." Clinical Journal of Gastroenterology, vol. 2, no. 3, 2009, pp. 226-231.
Arakura N, Ozaki Y, Muraki T, et al. Pancreaticobiliary fistula associated with pancreatolithiasis. Clin J Gastroenterol. 2009;2(3):226-231.
Arakura, N., Ozaki, Y., Muraki, T., Maruyama, M., Chou, Y., Kodama, R., Takayama, M., Hamano, H., Tanaka, E., & Kawa, S. (2009). Pancreaticobiliary fistula associated with pancreatolithiasis. Clinical Journal of Gastroenterology, 2(3), 226-231. https://doi.org/10.1007/s12328-009-0070-3
Arakura N, et al. Pancreaticobiliary Fistula Associated With Pancreatolithiasis. Clin J Gastroenterol. 2009;2(3):226-231. PubMed PMID: 26192302.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pancreaticobiliary fistula associated with pancreatolithiasis. AU - Arakura,Norikazu, AU - Ozaki,Yayoi, AU - Muraki,Takashi, AU - Maruyama,Masafumi, AU - Chou,Yoshimi, AU - Kodama,Ryo, AU - Takayama,Mari, AU - Hamano,Hideaki, AU - Tanaka,Eiji, AU - Kawa,Shigeyuki, Y1 - 2009/03/06/ PY - 2009/01/16/received PY - 2009/02/16/accepted PY - 2015/7/21/entrez PY - 2009/6/1/pubmed PY - 2009/6/1/medline KW - Extracorporeal shock wave lithotripsy KW - Pancreaticobiliary fistula KW - Pancreaticobiliary maljunction KW - Pancreatolithiasis SP - 226 EP - 231 JF - Clinical journal of gastroenterology JO - Clin J Gastroenterol VL - 2 IS - 3 N2 - We report here a case of pancreaticobiliary fistula associated with pancreatolithiasis. A 47-year-old female without a habit of alcohol drinking was admitted by her family physician after suffering from mild acute pancreatitis. Computed tomography revealed mild acute pancreatitis with pancreatolithiasis at the head of the pancreas. The pancreatolithiasis was exposed to the inner surface of the common bile duct and possibly compressed and narrowed the Wirsung and Santorini ducts, resulting in the pancreatitis attack. We used extracorporeal shock wave lithotripsy to treat the pancreatolithiasis. After complete elimination of stones by extracorporeal shock wave lithotripsy, endoscopic retrograde cholangiography showed an apparent pancreaticobiliary fistula between a branch of the Santorini duct and the lower portion of the common bile duct. There was no communication between the bile duct and the Wirsung duct or its branches; therefore, the diagnosis was not pancreaticobiliary maljunction. There have only been a few reports of pancreaticobiliary fistula without an association with pancreatic pseudocysts or intraductal papillary-mucinous pancreatic neoplasm, and there have only been few reports of pancreaticobiliary fistula with pancreatolithiasis. SN - 1865-7257 UR - https://www.unboundmedicine.com/medline/citation/26192302/Pancreaticobiliary_fistula_associated_with_pancreatolithiasis_ DB - PRIME DP - Unbound Medicine ER -
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