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Case Reports in Gastrointestinal Medicine
Volume 2011 (2011), Article ID 413268, 3 pages
http://dx.doi.org/10.1155/2011/413268
Case Report

Acute Pancreatitis Complicated with Choledochal Duct Rupture

1Paediatric Gastro-Enterology, Ghent University Hospital, De pintelaan 185, 9000 Ghent, Belgium
2Paediatric Surgery, Ghent University Hospital, De pintelaan 185, 9000 Ghent, Belgium
3Paediatric Intensive Care, Ghent University Hospital, De pintelaan 185, 9000 Ghent, Belgium
4Paediatric Radiology, Ghent University Hospital, De pintelaan 185, 9000 Ghent, Belgium
5Adult Gastro-Enterology, Ghent University Hospital, De pintelaan 185, 9000 Ghent, Belgium

Received 31 May 2011; Accepted 12 July 2011

Academic Editors: Y. Kawahara and C. Vogt

Copyright © 2011 M. Bouvry et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Recurrent acute pancreatitis is a rare clinical entity in childhood with unknown incidence (Rosendahl et al., 2007) and often occurring in a familial context. Genetic factors such as PRSS1 mutations (cationic trypsinogen gene) can be found in some patients. However, many remain idiopathic. The natural history remains poorly documented and the most frequent complications reported are pain, exocrine pancreatic insufficiency, diabetes mellitus, and pancreatic adenocarcinoma after long-standing hereditary pancreatitis. We describe a patient with hereditary pancreatitis in whom a mild pancreatitis episode was complicated by a perforation of the ductus choledochus.