Different clinical aspects of Wirsungocele: case series of three patients and review of literature.
The association of Santorinicele with pancreas divisum has been described. This anatomic condition creates ideal conditions for acute pancreatitis episodes and chronic abdominal pain. Saccular dilation of main pancreatic duct has also been described as incidental finding and causing episodes of acute pancreatitis. However, there is no description of associated chronic abdominal pain. Three detailed cases of Wirsungocele demonstrated by endoscopic retrograde cholangiopancretography are presented. Two of them had episodes of acute pancreatitis and one had chronic abdominal pain. All patients were treated by endoscopic biliopancreatic sphincterotomy. After a follow-up for more than two years, none presents clinical recurrence. Endoscopic biliopancreatic sphincterotomy for symptomatic patients with this anatomic condition seems safe and effective.
Department of Surgery, Universidade Estácio de Sá - UNESA, Rio de Janeiro, Brasil.
Djalma Ernesto
DE
Coelho
José Celso
JC
Ardengh
Eder Rios de
ER
Lima-Filho
José Flávio
JF
Coelho
D015746:Abdominal Pain / Q000209:etiology*; D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002908:Chronic Disease; D004108:Dilatation, Pathologic; D005260:Female; D006801:Humans; D008297:Male; D010181:Pancreatic Cyst / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D010183:Pancreatic Ducts; D010195:Pancreatitis / Q000209:etiology*; D012008:Recurrence; D016717:Sphincterotomy, Endoscopic