Korean J Pediatr Gastroenterol Nutr.  2001 Sep;4(2):256-260.

A Case of Chronic Relapsing Pancreatitis with Multiple Pancreatic Stones in Childhood

• Lee SY
• Um JH
• Chung KS
• Kim MJ

Abstract

Chronic pancreatitis is a rare problem in childhood and sometimes shows pancreatic calcification. The most common symptom is recurrent upper abdominal pain with or without associated nausea or vomiting. Pancreatic calcifications are virtually pathognomonic of chronic pancreatitis. In our case, however, chronic pancreatitis caused by multiple pancreatic stones in dilated pancreatic duct, which was very rare in childhood. Endoscopic retrograde cholangiopancreaticography (ERCP) is valuable in confirming the diagnosis and decision making process for further medical or surgical management of pancreatic disease. We experienced a case of chronic relapsing pancreatitis with pancreatic stones in 13-year-old girl who presented with recurrent upper abdominal pain. She was investigated with ERCP and treated by endoscopic sphincterotomy of sphincter of Oddi and by some stone removal with endoscopic basket. We report this case and review related literatures briefly.

Keyword

Chronic pancreatitis; Pancreatic stone; Childhood

MeSH Terms

Abdominal Pain
Adolescent
Cholangiopancreatography, Endoscopic Retrograde
Decision Making
Diagnosis
Female
Humans
Nausea
Pancreatic Diseases
Pancreatic Ducts
Pancreatitis*
Pancreatitis, Chronic
Sphincter of Oddi
Sphincterotomy, Endoscopic
Vomiting