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´Ù¹ß¼º Ãé°ü¼®¿¡ ÀÇÇÑ ¸¸¼º Àç¹ß¼º ÃéÀå¿° 1·Ê A Case of Chronic Relapsing Pancreatitis with Multiple Pancreatic Stones in Childhood

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À̽¿¬, ¾öÁöÇö, Á¤±â¼·, ±è¸íÁØ,
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À̽¿¬ ( Lee Seung-Yun ) 
¿¬¼¼´ëÇб³ ÀÇ°ú´ëÇÐ ¼Ò¾Æ°úÇб³½Ç

¾öÁöÇö ( Uhm Ji-Hyun ) 
¿¬¼¼´ëÇб³ ÀÇ°ú´ëÇÐ ¼Ò¾Æ°úÇб³½Ç
Á¤±â¼· ( Chung Ki-Sup ) 
¿¬¼¼´ëÇб³ ÀÇ°ú´ëÇÐ ¼Ò¾Æ°úÇб³½Ç
±è¸íÁØ ( Kim Myung-Joon ) 
¿¬¼¼´ëÇб³ ÀÇ°ú´ëÇÐ Áø´Ü¹æ»ç¼±°úÇб³½Ç

Abstract

ÀúÀÚµéÀº ¹Ýº¹ÀûÀ¸·Î ÃéÀå¿°À» ¾ÎÀº ¿©¾Æ¿¡¼­ »óº¹ºÎ µ¿ÅëÀ» ÁÖ¼Ò·Î ³»¿øÇÏ¿© MRCP¿Í ERCP¸¦ ÅëÇØ ´Ù¹ß¼º Ãé°ü¼®ÀÌ ¿øÀÎÀÎ ¸¸¼º Àç¹ß¼º ÃéÀå¿° 1·Ê¸¦ Ä¡ÇèÇÏ¿´±â¿¡ º¸°íÇÏ´Â ¹ÙÀÌ´Ù.

Chronic pancreatitis is a rare problem in childhood and sometimes shows pancreatic calcification. The most common symptom is recurrent upper abdominal pain with or without associated nausea or vomiting. Pancreatic calcifications are virtually pathognomonic of chronic pancreatitis. In our case, however, chronic pancreatitis caused by multiple pancreatic stones in dilated pancreatic duct, which was very rare in childhood. Endoscopic retrograde cholangiopancreaticography (ERCP) is valuable in confirming the diagnosis and decision making process for further medical or surgical management of pancreatic disease. We experienced a case of chronic relapsing pancreatitis with pancreatic stones in 13-year-old girl who presented with recurrent upper abdominal pain. She 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 and review related literatures briefly.

Å°¿öµå

Chronic pancreatitis;Pancreatic stone;Childhood

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