A Rare Case of Pancreas Divisum Accompanied by Acute Pancreatitis Following Endoscopic Hemostasis for Duodenal Ulcer Bleeding

Peptic ulcer bleeding is treated using endoscopic hemostasis using clips or bands. Pancreas divisum (PD), a congenital anomaly of the pancreas, usually has no clinical symptoms; however, pancreatitis may occur if there are disturbances in the drainage of pancreatic secretions. We report an unusual c...

Full description

Saved in:
Bibliographic Details
Published inThe Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Vol. 69; no. 4; p. 248
Main Authors Choi, Yong Hyeok, Yoon, Soon Man, Kim, Eun Bee, Oh, Youngmin, Kim, Keunmo, Lee, Jisun, Park, Seon Mee, Youn, Sei Jin
Format Journal Article
LanguageEnglish
Published Korea (South) 25.04.2017
Subjects
Acute Disease
Cholangiopancreatography, Magnetic Resonance
Endoscopy, Gastrointestinal
Female
Hemostasis, Endoscopic - adverse effects
Humans
Middle Aged
Pancreas - abnormalities
Pancreas - anatomy & histology
Pancreatitis - diagnosis
Pancreatitis - etiology
Peptic Ulcer Hemorrhage - therapy
Tomography, X-Ray Computed
Pancreatitis
Peptic ulcer
Endoscopic hemostasis
Online AccessGet more information

Cover

More Information
Summary:Peptic ulcer bleeding is treated using endoscopic hemostasis using clips or bands. Pancreas divisum (PD), a congenital anomaly of the pancreas, usually has no clinical symptoms; however, pancreatitis may occur if there are disturbances in the drainage of pancreatic secretions. We report an unusual case of PD accompanied by acute pancreatitis, following endoscopic band ligation for duodenal ulcer bleeding. A 48-year-old woman was admitted to our hospital due to melena. An upper endoscopy revealed a small ulcer with oozing adjacent minor papilla. An endoscopic band ligation was performed on this lesion. Acute pancreatitis developed suddenly 6 hours after the band ligation and improved dramatically after removal of the band. Magnetic resonance cholangiopancreatography was performed, revealing complete PD. Endoscopic band ligation is known as the effective method for peptic ulcer bleeding; however, it should be used carefully in duodenal ulcer bleeding near the minor duodenal papilla due to the possibility of PD.
ISSN:2233-6869