A case of late-onset acute pancreatitis after endoscopic papillectomy of ampullary adenoma |
Jeung Hye Han, Myung-Hwan Kim, Soo Jung Park, Sang Ah Lee, Sang Su Lee, Dong Wan Seo, Sung Koo Lee |
성균관대학교 의과대학 삼성서울병원 심장혈관센터 순환기내과 |
증례 : 십이지장 유두 선종의 내시경 유두 절제술 후 뒤늦게 발생한 급성 췌장염 |
한정혜, 김명환, 박수정, 이상아, 이상수, 서동완, 이성구 |
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Abstract |
Adenoma of the ampulla of Vater is a clinically important entity because it is a premalignant lesion. Endoscopic papillectomy for ampullary adenoma is a common procedure, and various associated complications have been reported. Early complications include bleeding, acute pancreatitis, and perforation, and a late complication is papillary stenosis. We report a case of late-onset acute pancreatitis caused by pancreatic duct orifice stenosis, one year after endoscopic papillectomy for ampullary adenoma. The patient was treated by pancreatic duct orifice dilation with a Soehendra stent retriever and subsequent stent insertion. |
Key Words:
Endoscopic papillectomy; Complication; Pancreatic duct stenosis; Acute pancreatitis |
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