J Korean Radiol Soc.  1992 Feb;28(1):162-164.

Idiopathic fibrosing pancreatitis: a rare cause of chronic obstructive jaundice in childhood

• Park HS
• Kim HS
• Kim HH
• Kim OH
• Kim CY
• Bahk YW

Abstract

We report a 14-months-old infant who had obstructive jaundice caused by idiopathic fibrosing pancreatitis. Ultrasonography and abdominal computed tomography showed dilatation of the intrahepatic ducts, common bile duct, and the pancreatic duct. Diffuse swelling of the pancreas was also noted on CT. At laparotomy, the head portion of the pancreas revealed a stony hard consistency, and proliferation of fibrotic tissue was confirmed pathologically. Idiopathic fibrosing pancreatitis is a very rare disease entity in childhood, but should be considered in the differential diagnosis of obstructive jaundice in children who demonstrate bile duct and pancreatic duct dilatation and/or diffuse pancreas swelling.

MeSH Terms

Bile Ducts
Child
Common Bile Duct
Diagnosis, Differential
Dilatation
Head
Humans
Infant
Jaundice, Obstructive*
Laparotomy
Pancreas
Pancreatic Ducts
Pancreatitis*
Rare Diseases
Ultrasonography