title: A Duodenal Ulcer Caused by Pancreatic Ductal Hypertension with Chronic Pancreatitis.
abstract: We herein describe the case of a 67-year-old woman with a duodenal ulcer thought to be caused by elevated pancreatic ductal pressure. The patient complained of continuous upper abdominal pain. Her medical history included idiopathic chronic pancreatitis. Endoscopy revealed a huge duodenal ulcer located on the inferior duodenal angle, which had not been seen on endoscopic retrograde pancreatography two months previously. A combination study using endoscopy and contrast imaging confirmed the relationship between the duodenal ulcer and the pancreatic branch duct. To our knowledge, this is the first case of duodenal ulcer thought to be caused by elevated pancreatic ductal pressure.
authors.affiliation: Second Department of Internal Medicine, Osaka Medical College, Japan.
authors.forename: Akira
authors.initials: A
authors.lastname: Imoto
authors.forename: Daisuke
authors.initials: D
authors.lastname: Masuda
authors.forename: Atsushi
authors.initials: A
authors.lastname: Okuda
authors.forename: Wataru
authors.initials: W
authors.lastname: Takagi
authors.forename: Saori
authors.initials: S
authors.lastname: Onda
authors.forename: Tatsushi
authors.initials: T
authors.lastname: Sano
authors.forename: Takashi
authors.initials: T
authors.lastname: Mikami
authors.forename: Malak
authors.initials: M
authors.lastname: Mohamed
authors.forename: Takeshi
authors.initials: T
authors.lastname: Ogura
authors.forename: Kazuhide
authors.initials: K
authors.lastname: Higuchi
mesh_terms: D015746:Abdominal Pain; D000368:Aged; D002404:Catheterization; D002908:Chronic Disease; D004381:Duodenal Ulcer / Q000209:etiology* / Q000601:surgery; D004724:Endoscopy; D005260:Female; D006801:Humans; D006973:Hypertension / Q000209:etiology / Q000473:pathology*; D010183:Pancreatic Ducts / Q000473:pathology*; D050500:Pancreatitis, Chronic / Q000150:complications / Q000473:pathology* / Q000601:surgery; D016896:Treatment Outcome