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Obstructive chronic pancreatitis with transient eosinophilia in a 13-year-old child

Year 2013, , - , 01.08.2013
https://doi.org/10.17940/endoskopi.74809

Abstract

Obstructive chronic pancreatitis in children occurs as a result of congenital or acquired stricture of the pancreatic duct. The prominent histologic changes are characterized by periductal fibrosis and subsequent ductal dilatation. Diagnosis is usually made by imaging studies such as endoscopic retrograde cholangiopancreaticography, ultrasonography, and pancreatic function testing. Eosinophilia is frequently associated with allergic rhinitis, asthma, parasitic infections, and drug reactions. It has been infrequently described with chronic obstructive pancreatic diseases. In this article, we present a patient with eosinophilia and abdominal pain with chronic obstructive pancreatitis. In our case, the symptoms of pancreatitis and eosinophilia improved with pancreatic stent placement.

References

  • Krishnaveni J, Devanand B, Harshavardhan TS, et al. Chronic pancre- atitis presenting with pseudocyst of pancreas and pseudo-aneurysm of hepatic artery. Indian J Pediatr 2012; 79: 952–4.
  • Shyam V, Jessica TM. Review of EUS-guided pancreatic duct drainage. Gastrointest Endosc 2009; 69: 1.
  • Mehta DI. Acute and chronic pancreatitis in childhood. Indian J Pediatr 1999; 66: S81.
  • Cheng CL, Fogel EL, Sherman S, et al. Diagnostic and therapeutic endo- scopic retrograde cholangiopancreatography in children: a large series report. J Pediatr Gastroenterol Nutr 2005; 41: 445-53.
  • Sultan M, Werlin S, Venkatasubramani N. Genetic prevalence and char- acteristics in children with recurrent pancreatitis. J Pediatr Gastroenterol Nutr 2012; 54: 645-50.
  • Wang Q, Lu CM, Guo T, et al. Eosinophilia associated with chronic pancreatitis. Pancreas 2009; 38: 149-53.
  • Fred H. Transient eosinophilia associated with pancreatitis and pseudo- cyst formation. Arc Intern Med. 1980; 140: 1099-100.
  • Steer ML, Waxman I, Freedman S. Chronic pancreatitis. N Engl J Med 1995; 332: 1482.
  • Etemad B, Whitcomb DC. Chronic pancreatitis: diagnosis, classification, and new genetic developments. Gastroenterology 2001; 120: 682.
  • Milovic V, Wehrmann T, Dietrich CF, et al. Extracorporeal shock wave lithotripsy with a transportable mini-lithotripter and subsequent en- doscopic treatment improves clinical outcome in obstructive calcific chronic pancreatitis. Gastrointest Endosc 2011; 74: 1294-9.
  • Wang W, Liao Z, Li ZS, et al. Chronic pancreatitis in Chinese children: etiology, clinical presentation and imaging diagnosis. J Gastroenterol Hepatol 2009; 24: 1862.
  • Kahl S, Glasbrenner B, Leodolter A, et al. EUS in the diagnosis of early chronic pancreatitis: a prospective follow-up study. Gastrointest Endosc 2002; 55: 507-11.
  • Sah RP, Pannala R, Zhang L, et al. Eosinophilia and allergic disorders in autoimmune pancreatitis. Am J Gastroenterol 2010; 105: 2485-91.
  • Long SS, Ann-Christine N. Eosinophils and eosinophilia. In: Long SS, Pickering LK, editors. Long: Principles and Practice of Pediatric Infec- tious Diseases, Revised Reprint. 3rd ed. Philadelphia: Elsevier Inc., 2009; 1368-81.
  • Günter K. Chronic pancreatitis, pseudotumors and other-like lesions. Modern Pathol. 2007; 20: 113-31.

Onüç yaşındaki çocukta geçici eozinofiliyle birlikte obstrüktif kronik pankreatit

Year 2013, , - , 01.08.2013
https://doi.org/10.17940/endoskopi.74809

Abstract

Çocuklarda pankreatik kanalın, doğumsal veya edinsel darlığının bir sonucu olarak obstrüktif kronik pankreatit ortaya çıkar. Belirgin histolojik değişiklikler periduktal fibrozis ve geri kalan duktal alanda genişlemelerle karakterizedir. Tanıda genellikle endoskopik retrograd kolanjiopankreatikografi, ultrasonografi ve pankreatik fonksiyon testleri gibi yöntemler kullanılmaktadır. Eozinofili sıklıkla alerjik rinit, astım, parazitik enfeksiyonlar ve ilaç reaksiyonu ile ilişkilidir. Seyrek olarak da kronik obstrüktif pankreatik hastalıklarda tarif edilmiştir. Bu makalede; karın ağrısı ile başvuran kronik obstrüktif pankreatitli bir olguyu sunuyoruz. Olgumuzda, pankreatit semptomları ve eozinofili pankreasa stent yerleştirilmesi ile düzelmiştir.

References

  • Krishnaveni J, Devanand B, Harshavardhan TS, et al. Chronic pancre- atitis presenting with pseudocyst of pancreas and pseudo-aneurysm of hepatic artery. Indian J Pediatr 2012; 79: 952–4.
  • Shyam V, Jessica TM. Review of EUS-guided pancreatic duct drainage. Gastrointest Endosc 2009; 69: 1.
  • Mehta DI. Acute and chronic pancreatitis in childhood. Indian J Pediatr 1999; 66: S81.
  • Cheng CL, Fogel EL, Sherman S, et al. Diagnostic and therapeutic endo- scopic retrograde cholangiopancreatography in children: a large series report. J Pediatr Gastroenterol Nutr 2005; 41: 445-53.
  • Sultan M, Werlin S, Venkatasubramani N. Genetic prevalence and char- acteristics in children with recurrent pancreatitis. J Pediatr Gastroenterol Nutr 2012; 54: 645-50.
  • Wang Q, Lu CM, Guo T, et al. Eosinophilia associated with chronic pancreatitis. Pancreas 2009; 38: 149-53.
  • Fred H. Transient eosinophilia associated with pancreatitis and pseudo- cyst formation. Arc Intern Med. 1980; 140: 1099-100.
  • Steer ML, Waxman I, Freedman S. Chronic pancreatitis. N Engl J Med 1995; 332: 1482.
  • Etemad B, Whitcomb DC. Chronic pancreatitis: diagnosis, classification, and new genetic developments. Gastroenterology 2001; 120: 682.
  • Milovic V, Wehrmann T, Dietrich CF, et al. Extracorporeal shock wave lithotripsy with a transportable mini-lithotripter and subsequent en- doscopic treatment improves clinical outcome in obstructive calcific chronic pancreatitis. Gastrointest Endosc 2011; 74: 1294-9.
  • Wang W, Liao Z, Li ZS, et al. Chronic pancreatitis in Chinese children: etiology, clinical presentation and imaging diagnosis. J Gastroenterol Hepatol 2009; 24: 1862.
  • Kahl S, Glasbrenner B, Leodolter A, et al. EUS in the diagnosis of early chronic pancreatitis: a prospective follow-up study. Gastrointest Endosc 2002; 55: 507-11.
  • Sah RP, Pannala R, Zhang L, et al. Eosinophilia and allergic disorders in autoimmune pancreatitis. Am J Gastroenterol 2010; 105: 2485-91.
  • Long SS, Ann-Christine N. Eosinophils and eosinophilia. In: Long SS, Pickering LK, editors. Long: Principles and Practice of Pediatric Infec- tious Diseases, Revised Reprint. 3rd ed. Philadelphia: Elsevier Inc., 2009; 1368-81.
  • Günter K. Chronic pancreatitis, pseudotumors and other-like lesions. Modern Pathol. 2007; 20: 113-31.
There are 15 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Gülten Can Sezgin This is me

Eylem Sevinç This is me

Alper Yurci This is me

Duran Arslan This is me

Şebnem Gürsoy This is me

Publication Date August 1, 2013
Published in Issue Year 2013

Cite

APA Sezgin, G. C., Sevinç, E., Yurci, A., Arslan, D., et al. (2013). Onüç yaşındaki çocukta geçici eozinofiliyle birlikte obstrüktif kronik pankreatit. Endoskopi Gastrointestinal, 21(2). https://doi.org/10.17940/endoskopi.74809
AMA Sezgin GC, Sevinç E, Yurci A, Arslan D, Gürsoy Ş. Onüç yaşındaki çocukta geçici eozinofiliyle birlikte obstrüktif kronik pankreatit. Endoskopi Gastrointestinal. August 2013;21(2). doi:10.17940/endoskopi.74809
Chicago Sezgin, Gülten Can, Eylem Sevinç, Alper Yurci, Duran Arslan, and Şebnem Gürsoy. “Onüç yaşındaki çocukta geçici Eozinofiliyle Birlikte obstrüktif Kronik Pankreatit”. Endoskopi Gastrointestinal 21, no. 2 (August 2013). https://doi.org/10.17940/endoskopi.74809.
EndNote Sezgin GC, Sevinç E, Yurci A, Arslan D, Gürsoy Ş (August 1, 2013) Onüç yaşındaki çocukta geçici eozinofiliyle birlikte obstrüktif kronik pankreatit. Endoskopi Gastrointestinal 21 2
IEEE G. C. Sezgin, E. Sevinç, A. Yurci, D. Arslan, and Ş. Gürsoy, “Onüç yaşındaki çocukta geçici eozinofiliyle birlikte obstrüktif kronik pankreatit”, Endoskopi Gastrointestinal, vol. 21, no. 2, 2013, doi: 10.17940/endoskopi.74809.
ISNAD Sezgin, Gülten Can et al. “Onüç yaşındaki çocukta geçici Eozinofiliyle Birlikte obstrüktif Kronik Pankreatit”. Endoskopi Gastrointestinal 21/2 (August 2013). https://doi.org/10.17940/endoskopi.74809.
JAMA Sezgin GC, Sevinç E, Yurci A, Arslan D, Gürsoy Ş. Onüç yaşındaki çocukta geçici eozinofiliyle birlikte obstrüktif kronik pankreatit. Endoskopi Gastrointestinal. 2013;21. doi:10.17940/endoskopi.74809.
MLA Sezgin, Gülten Can et al. “Onüç yaşındaki çocukta geçici Eozinofiliyle Birlikte obstrüktif Kronik Pankreatit”. Endoskopi Gastrointestinal, vol. 21, no. 2, 2013, doi:10.17940/endoskopi.74809.
Vancouver Sezgin GC, Sevinç E, Yurci A, Arslan D, Gürsoy Ş. Onüç yaşındaki çocukta geçici eozinofiliyle birlikte obstrüktif kronik pankreatit. Endoskopi Gastrointestinal. 2013;21(2).