Primary sclerosing cholangitis associated with limy bile and acute pancreatitis.
Primary sclerosing cholangitis (PSC) as the cause of acute pancreatitis (AP) is a rare phenomenon. Here, we report the first case of PSC associated with limy bile (LB) as well as AP. In this case, spontaneous outflow of the LB occurred, and the AP resolved on its own with conservative management. In addition to the administration of ursodeoxycholic acid, endoscopic intervention was undertaken and the patient remains symptom free to date. This report describes a unique case in which PSC, LB, and AP occurred in the same patient. The association of these rare conditions is also discussed.
Department of Gastroenterology, Seirei Hamamatsu Hospital, Hamamatsu University School of Medicine, Shizuoka, Japan. matsagjp@yahoo.co.jp
Masahiro
M
Matsushita
Masamichi
M
Nagasawa
Yoshihiko
Y
Sato
Ken-ichi
K
Souda
Yoshimasa
Y
Kobayashi
D000208:Acute Disease; D000328:Adult; D000681:Amylases / Q000097:blood; D001646:Bile / Q000737:chemistry*; D002119:Calcium Carbonate / Q000032:analysis*; D015209:Cholangitis, Sclerosing / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D016145:Endoscopy, Digestive System; D006801:Humans; D008049:Lipase / Q000097:blood; D008297:Male; D010195:Pancreatitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014580:Ursodeoxycholic Acid / Q000627:therapeutic use
D014580:Ursodeoxycholic Acid; D008049:Lipase; D000681:Amylases; D002119:Calcium Carbonate