Double plastic stent implantation for recurrent acute pancreatitis with incomplete pancreas divisum: a case report and literature review

Pancreas divisum (PD) is a common pancreatic malformation caused by the failure of fusion between ventral and dorsal pancreatic ducts. There is a small branch of communication between the two systems in incomplete PD, and this variation has an incidence of 15%. A 43-year-old female patient presented...

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Autores principales:	Kunyi Liu, Xuechen Liu, Chengyi Shi, Siqi Liu, Hongwei Du, Yan Li, Na Wang, Zhijie Feng, Huiqing Jiang
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/8f0361b1382747149179b0fed0eebaaf
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spelling	oai:doaj.org-article:8f0361b1382747149179b0fed0eebaaf2021-12-02T03:03:58ZDouble plastic stent implantation for recurrent acute pancreatitis with incomplete pancreas divisum: a case report and literature review1473-230010.1177/03000605211060142https://doaj.org/article/8f0361b1382747149179b0fed0eebaaf2021-11-01T00:00:00Zhttps://doi.org/10.1177/03000605211060142https://doaj.org/toc/1473-2300Pancreas divisum (PD) is a common pancreatic malformation caused by the failure of fusion between ventral and dorsal pancreatic ducts. There is a small branch of communication between the two systems in incomplete PD, and this variation has an incidence of 15%. A 43-year-old female patient presented to our department with recurrent abdominal pain. Magnetic resonance cholangiopancreatography (MRCP) showed that the ventral pancreatic duct was curved, with a local pouchlike dilatation. Endoscopic ultrasonography supported the diagnosis of incomplete PD and showed a thin branch of communication between ventral and dorsal pancreatic ducts. Endoscopic retrograde cholangiopancreatography (ERCP) and papillotomy of the minor papilla with double plastic stent implantation were performed. One pancreatic plastic stent was inserted across the minor and major papilla over the guide wire, creating a U-shape. The other wire-guided plastic stent was inserted through the minor papilla into the dorsal pancreatic duct. The pancreatic fluid drained smoothly after stent placement. During the 6-month follow-up, the patient remained well, without recurrence of pancreatitis.Kunyi LiuXuechen LiuChengyi ShiSiqi LiuHongwei DuYan LiNa WangZhijie FengHuiqing JiangSAGE PublishingarticleMedicine (General)R5-920ENJournal of International Medical Research, Vol 49 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Kunyi Liu Xuechen Liu Chengyi Shi Siqi Liu Hongwei Du Yan Li Na Wang Zhijie Feng Huiqing Jiang Double plastic stent implantation for recurrent acute pancreatitis with incomplete pancreas divisum: a case report and literature review
description	Pancreas divisum (PD) is a common pancreatic malformation caused by the failure of fusion between ventral and dorsal pancreatic ducts. There is a small branch of communication between the two systems in incomplete PD, and this variation has an incidence of 15%. A 43-year-old female patient presented to our department with recurrent abdominal pain. Magnetic resonance cholangiopancreatography (MRCP) showed that the ventral pancreatic duct was curved, with a local pouchlike dilatation. Endoscopic ultrasonography supported the diagnosis of incomplete PD and showed a thin branch of communication between ventral and dorsal pancreatic ducts. Endoscopic retrograde cholangiopancreatography (ERCP) and papillotomy of the minor papilla with double plastic stent implantation were performed. One pancreatic plastic stent was inserted across the minor and major papilla over the guide wire, creating a U-shape. The other wire-guided plastic stent was inserted through the minor papilla into the dorsal pancreatic duct. The pancreatic fluid drained smoothly after stent placement. During the 6-month follow-up, the patient remained well, without recurrence of pancreatitis.
format	article
author	Kunyi Liu Xuechen Liu Chengyi Shi Siqi Liu Hongwei Du Yan Li Na Wang Zhijie Feng Huiqing Jiang
author_facet	Kunyi Liu Xuechen Liu Chengyi Shi Siqi Liu Hongwei Du Yan Li Na Wang Zhijie Feng Huiqing Jiang
author_sort	Kunyi Liu
title	Double plastic stent implantation for recurrent acute pancreatitis with incomplete pancreas divisum: a case report and literature review
title_short	Double plastic stent implantation for recurrent acute pancreatitis with incomplete pancreas divisum: a case report and literature review
title_full	Double plastic stent implantation for recurrent acute pancreatitis with incomplete pancreas divisum: a case report and literature review
title_fullStr	Double plastic stent implantation for recurrent acute pancreatitis with incomplete pancreas divisum: a case report and literature review
title_full_unstemmed	Double plastic stent implantation for recurrent acute pancreatitis with incomplete pancreas divisum: a case report and literature review
title_sort	double plastic stent implantation for recurrent acute pancreatitis with incomplete pancreas divisum: a case report and literature review
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/8f0361b1382747149179b0fed0eebaaf
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Double plastic stent implantation for recurrent acute pancreatitis with incomplete pancreas divisum: a case report and literature review

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