title: [Primary odditis. Clinical features, therapy, and possible pathogenesis (author's transl)].
abstract: Primary odditis, a rare affection, was observed in 28 patients (15 women and 13 men) with a mean age of 56.4 years. Epigastric or right hypochondrial pain was the presenting symptom in 13 cases, while in 13 others the onset was heralded by jaundice, either of a chronic nature (2 cases) or of the pseudo-lithiasic type (11 cases). The pancreatic form is much less frequent (2 cases). Radiological and histological findings are compared with those described in the published literature. All patients demonstrated a specific psychosomatic profile. Primary odditis can be reproduced experimentally in dogs by chronic irritation of the right splanchnic nerve, this acting on a nerve circuit which includes the right splanchnic and left vagus nerves. It is suggested that such lesions are secondary to a "nervous irritation" (Reilly's phenomenon). Treatment of primary odditis is by surgery only, sphincterectomy giving the best results, though choledochoduodenal anastomosis is also effective in elderly patients.
mesh_terms: D000328:Adult; D000368:Aged; D014670:Ampulla of Vater / Q000473:pathology*; D000818:Animals; D002758:Cholangiography; D002761:Cholangitis / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D004285:Dogs; D005260:Female; D006801:Humans; D007565:Jaundice / Q000209:etiology; D008297:Male; D001523:Mental Disorders / Q000209:etiology; D008875:Middle Aged; D010195:Pancreatitis / Q000209:etiology; D009803:Sphincter of Oddi / Q000473:pathology* / Q000601:surgery
vernacular_title: Les oddites primitives. Etude clinique et thérapeutique. Essai d'interprétation pathogénique.