PRSS1 HEREDITARY CHRONIC PANCREATITIS: ERCP WITH PANCREATOSCOPY AND PANCREATIC LITHOTRIPSY

36 year old man with PRSS1 hereditary pancreatitis complaining severe abdominal pain and presenting dilated main pancreatic duct with a big stone (14 mm) at genu. Pain control was achieved by pancreatic drainage with plastic stent. The next year pancreatic stent was meant to be replaced, but stent went broken and retained during extraction. Our goal was pancreatic stone fragmentation and drainage, retained pancreatic stent removal and insertion of new pancreatic stent. Peroral pancreatoscopy was performed using cholangioscope on guidewire during ERCP. The big stone was fragmented with electrohydraulic lithotripsy device and finally impacted stent could be removed.

Publication History

Article published online:
14 April 2022