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Case Reports
A Case of Pancreaticobiliary Maljunction with Repeated Pancreatitis Due to Protein Plugs in a Short Period.
- Hiroyuki Ariga, Junya Kashimura, Yoshifumi Honda, Fumiya Tamano, Naoki Iso, and Kenta Okada.
- Department of Gastroenterology, Mito Kyodo General Hospital, Japan.
- Intern. Med. 2024 Sep 1; 63 (17): 240724092407-2409.
AbstractA 70-year-old woman was admitted to the hospital 1 month prior to presentation with acute pancreatitis due to pancreaticobiliary maljunction. After discharge, she was referred for elevated hepatobiliary enzyme levels. She was diagnosed with an acute pancreatitis flare-up. Computed tomography revealed dilation of the common duct compared to the previous admission. Considering the protein plug formation as the cause, endoscopic retrograde cholangiopancreatography (ERCP) was performed after improvement. ERCP revealed a defect in the duct, suspected to be caused by protein plugs, which were removed using a balloon after endoscopic papillary balloon dilatation. An analysis revealed that this component was a protein. No recurrence of pancreatitis was observed after the treatment.
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