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Nihon Shokakibyo Gakkai Zasshi ; 119(6): 573-579, 2022.
Artigo em Japonês | MEDLINE | ID: mdl-35691928

RESUMO

A 44-year-old man with a history of chronic alcoholic pancreatitis and Crohn's disease presented with abdominal pain. Computed tomography revealed pancreatic calculi in the head of the pancreas and a dilated pancreatic duct. The patient was diagnosed with an acute exacerbation of chronic pancreatitis due to the impact of pancreatic calculi on the main pancreatic duct. During the clinical course, the movement of pancreatic calculi to the major papilla was confirmed, leading to obstructive jaundice. Endoscopic treatment with sphincterotomy of the pancreatic duct was successful. Herein, we report the case of an unusual clinical course involving obstructive jaundice caused by the movement of pancreatic calculi.


Assuntos
Cálculos , Icterícia Obstrutiva , Pancreatite Crônica , Adulto , Cálculos/complicações , Cálculos/diagnóstico por imagem , Colangiopancreatografia Retrógrada Endoscópica , Humanos , Icterícia Obstrutiva/diagnóstico por imagem , Icterícia Obstrutiva/etiologia , Masculino , Pâncreas , Ductos Pancreáticos/diagnóstico por imagem , Pancreatite Crônica/complicações , Pancreatite Crônica/diagnóstico por imagem
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