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

Yıl 2013, Cilt: 21 Sayı: 2, - , 01.08.2013

Gülten Can Sezgin Eylem Sevinç Alper Yurci Duran Arslan Şebnem Gürsoy

https://doi.org/10.17940/endoskopi.74809

Öz

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.

Anahtar Kelimeler

Chronic pancreatitis, eosinophilia, child

Onüç yaşındaki çocukta geçici eozinofiliyle birlikte obstrüktif kronik pankreatit

Öz

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.

Anahtar Kelimeler

Kronik pankreatit, eozinofili, çocuk

Kaynakça

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