Sigmoid morphology of an impassable cephalic pancreatic duct associated with ductal disruption: Rectification maintained using guides for endoscopic treatment

Abstract Text We present the case of a patient with chronic pancreatitis that has been exacerbated. In the initial ERCP, the pancreatic duct is cannulated, which presents a filiform duct segment with a sigmoid morphology associated with disruption. Due to the sigmoid duct morphology, attempts were made to pass 7F, 5F, and 4F stents and balloon dilators, all without success. Given the impossibility of surpassing this area with any device, three hydrophilic guides were introduced to the pancreatic tail. In a second ERCP performed 6 days later, the three guides were removed, and a 5F and 11 cm plastic stent was successfully placed. The patient showed good subsequent evolution with resolution of the disruption and collection.

Video http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/8baf157d-1c72-4049-a5e5-943a29821901/Uploads/16849_Sigmoid_morphology%20cephalic%20pancreatic%20duct.mp4

Publication History

Article published online:
27 March 2025