Abstract Text Recurrent pancreatitis (RP) is relatively uncommon in young people. It is usually
associated with genetic mutations or congenital pancreatic abnormalities. A 20-year-old
girl with RP is presented. TIGAR-O evidenced a presumptive stenosis at the Santorini-Wirsung
duct junction (SWJ), with a small stone associated, and Wirsung distal duct dilation.
The Wirsung duct, at the pancreatic head, showed a very thin caliber and stenosis
at the SWJ. The challenge was, how to remove the pancreatic stone in this setting.
The therapeutic endoscopic interventions were ERCPs (4), pancreatic sphincterotomy
and stent placement, Wirsung duct dilation at the head and SWJ, and pancreatoscopy
with microbasquet stone extraction. The main complication included pancreatic juice
leaking, which was managed conservatively. The follow-up after 16 months evidence,
right now, no more pancreatitis episodes [1]
[2]
[3].
Video
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