[Cystic dystrophy of an aberrant pancreas. Surgery after failure of medical therapy].
BACKGROUND
Cystic dystrophy of aberrant pancreas, characterized by cystic formations in ectopic pancreatic tissue, produces variable signs. Treatment is difficult.


METHODS
Our patient presented signs of acute pancreatitis and angiocholitis due to cystic dystrophy of an aberrant pancreas situated in the duodenal wall associated with chronic alcoholic pancreatitis. Prolonged medical treatment was unsuccessful. Duodenopancreatectomy with preservation of the tail led to complete regression of the clinical signs.


CONCLUSIONS
Signs of cystic dystrophy of an aberrant pancreas vary greatly. Diagnosis is generally established on the basis of echoendoscopic findings. After failure of medical treatment, duodenopancreatectomy with preservation of the tail could be the most appropriate surgical treatment, hypothesizing that the disorders result from obstruction of the Wirsung and the lower main bile ducts.
Bittar
I
I
Service de Chirurgie générale, Centre Hospitalier Intercommunal de Créteil.
Cohen Solal
J L
JL
Cabanis
P
P
Hagege
H
H
D002828:Choristoma / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas; D010181:Pancreatic Cyst / Q000209:etiology / Q000601:surgery*; D016577:Pancreaticoduodenectomy; D012008:Recurrence