Ansa Pancreatica: An Uncommon Cause Accounting for Recurrent Pancreatitis in Children


Ansa Pancreatica: An Uncommon Cause Accounting for Recurrent Pancreatitis in Children


Syeda Namayah Fatima Hussain1, Munir Iqbal Malik2, Sabeen Abid Khan3

1A-11, Rabbia Garden, Garden East, Britto Road, Karachi.
2Department of Paediatrics, Shifa International Hospital, Pitras Bukhari Road, Islamabad.
3 House 150, Street 11, E-11/4, Islamabad


International-Journal-of-Case-Reports-2d code

Acute recurrent pancreatitis is a rare entity in children. It can be caused by a number of reasons, anatomical variations being one of them. Panctreatica divisum is the most common form of ductal anomaly while ansa pancreatica is the least studied and explored. In recurrent pancreatitis, Ansa Pancreatica was recently found to be a key risk factor. It is usually found among adult alcoholics. We submit a report of a rare but important cause of acute recurrent pancreatitis; an 11-year-old child with 2 previous episodes of pancreatitis diagnosed with ansa pancreatica on magnetic resonance cholangiopancreatography (MRCP). He was advised to get stenting of Pancreatic duct. To the best of our belief, only another case has been reported in the pediatric population.


Keywords: Acute recurrent pancreatitis, ansa pancreatica, pancreatica divisum


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How to cite this article:
Syeda Namayah Fatima Hussain, Munir Iqbal Malik, Sabeen Abid Khan. Ansa Pancreatica: An Uncommon Cause Accounting for Recurrent Pancreatitis in Children. International Journal of Case Reports, 2019 4:60. DOI: 10.28933/ijcr-2019-01-1608


References:

1. Park A, Latif SU, Shah AU: Changing referral trends of acute pancreatitis in children: A 12-year single-center analysis. J Pediatr Gastroenterol Nutr. 2009, 49:316-322. 10.1097/MPG.0b013e31818d7db3.
2. Sanchez-Ramirez CA, Larrosa-Haro A, Flores-Martinez S, Sanchez-Corona J, Villa-Gomez A, Macias-Rosales R. : Acute and recurrent pancreatitis in children: etiological factors. Acta Paediatr. 2007, 96:534-537. 10.1111/j.1651-2227.2007.00225.x
3. Minen F, De Cunto A, Martelossi S, Ventura A.: Acute and recurrent pancreatitis in children: exploring etiological factors. Scand J Gastroenterol. 2012, 47:1501-150. 10.3109/00365521.2012.729084
4. Lehman GA: From congenital anomalies of the pancreas. In Gastroenterologic Endoscopy. Sivak Jr MV. (ed): Saunders Company, Philadelphia, P.A.; 2000. 2:1084-97.
5. Yamakawa Hayashi, Takana & Gonoi, Wataru & Yoshikawa, Takeharu & Hayashi, Naoto & Ohtomo, Kuni.: Ansa pancreatica as a predisposing factor for recurrent acute pancreatitis. World Journal of Gastroenterology. 2016, 22:8940-48. 10.3748/wjg.v22.i40.8940
6. Tanaka T, Ichiba Y, Miura Y, Itoh H, Dohi K. : Variations of the pancreatic ducts as a cause of chronic alcoholic pancreatitis; ansa pancreatica.. Am J Gastroenterol. 1992, 87:806.
7. Kim HM, Park JY, Kim MJ. : Ansa Pancreatica: A Case Report of a Type of Ductal Variation in a Patient with Idiopathic Acute Recurrent Pancreatitis. J Korean Soc Radiol. 2010, 63:83-86. 10.3348/jksr.2010.63.1.83
8. Benifla M, Weizman Z.: Acute Pancreatitis in Childhood: Analysis of Literature Data. J Clin Gastroenterol. 2003, 37:169-172
9. Cotton PB.: Congenital anomaly of pancreas divisum as cause of obstructive pain and pancreatitis. Gut. 1980, 21:105-114. 10.1136/gut.21.2.105