All issues > Volume 38(7); 1995

Case Report

J Korean Pediatr Soc. 1995;38(7):1012-1017. Published online July 15, 1995.

A Case of Chronic Pancreatitis with Pancreatic Stones in Childhood

Young Kyoo YK Shin¹, Chan Wook CW Woo¹, Kee Hyoung KH Lee¹, Young Chang YC Tockgo¹, Chang Duck CD Kim²

¹Department of Pediatrics, College of Medicine, Korea University, Seoul, Korea
²Department of Gastroenterology, College of Medicine, Korea University, Seoul, Korea

Abstract

Chronic pancreatitis is a rare problem in childhood and sometimes shows pancreatic calcif-ication. The most common symptom is chronic recurrent upper abdominal pain, with waves of crampy pain that increase in severity, with or without associated nausea or vomiting. Although the diagnosis is made or considered infrequently hereditary or other metabolic factors, the cau-se remains largely idiopathic. Endoscopic retrograde cholangiopancreatography(ERCP) has been demonstrated to be a useful diagnostic tool in the investigation of adult patients with pan-creatic disease. However the use of ERCP in the management of children with pancreatic dis-ease has not been as widespread as in adult population beacuse of its technical difficulties in children. ERCP is valuable in confirming the diagnosis and decision making process for further medical or surgical management. We experienced a case of chronic pancreatitis with pancreatic stones in 10-year-old boy who suffered from acute upper abdominal pain and vomiting. He was investigated with ERCP and treated by endoscopic sphincterotomy of sphincter of Oddi and by some stone removal with endoscopic basket. We report this case with a brief review of the related literatures.

Keywords :Chronic Pancreatitis, Pancreatic Stone, Endoscopic retrograde cholangiopancre-atography (ERCP), Childhood