Pancreas Divisum as a cause of pediatric acute recurrent pancreatitis: a case report

Main Article Content

Andrea Cristina Restrepo Hincapie
Susana Villanueva Arteta
Carlos Aguirre Acevedo
Ricardo Orozco Ferro

Abstract

Acute pancreatitis is a reversible inflammatory condition of the pancreatic parenchyma with a variable clinical course, since activation of pancreatic enzymes within the gland, leading to a tissue injury that can range from local involvement to life-threatening systemic compromise. Prevalence of childhood acute pancreatitis has been increasing during recent decades and pancreas divisum is considered one of the causes of acute recurrent pancreatitis. However, in some patients with this anomaly are asymptomatic. The clinical relevance of this anatomic variant remains controversial. We present the case of an 11-year-old female patient with a history of acute pancreatitis and subsequent diagnosis of pancreas divisum. This case report aims to describe the importance of early diagnosis of acute recurrent pancreatitis for timely intervention to limit the progression to chronic pancreatitis.

Downloads

Download data is not yet available.

Article Details

How to Cite
Restrepo Hincapie, A. C., Villanueva Arteta, S., Aguirre Acevedo, C., & Orozco Ferro, R. (2025). Pancreas Divisum as a cause of pediatric acute recurrent pancreatitis: a case report. Revista Ecuatoriana De Pediatría, 26(2), 40–46. https://doi.org/10.52011/RevSepEc/e308
Section
Clinical Case
Author Biographies

Andrea Cristina Restrepo Hincapie, Universidad Libre Seccional Barranquilla

Universidad Libre Seccional Barranquilla, Colombia

Susana Villanueva Arteta, Universidad Libre Seccional Barranquilla

Universidad Libre Seccional Barranquilla, Colombia

Carlos Aguirre Acevedo, niversidad Libre Seccional Barranquilla

niversidad Libre Seccional Barranquilla, Colombia

Ricardo Orozco Ferro, Universidad Libre Seccional Barranquilla

Universidad Libre Seccional Barranquilla, Colombia

References

Gil Romea I, Deus Fombellida J, León Cinto C, Mozota Duarte J, Garrido Calvo A, Rivas Jiménez M, et al. Pancreatitis aguda. Med. integral. 2001; 38: 297-301.

Gómez D, Sánchez E, Montiel M. Pancreatitis aguda en pediatría. Rev. méd. sinerg. 2023; 8: e1088. https://doi.org/10.31434/rms.v8i8.1088

Testoni PA. Acute recurrent pancreatitis: Etiopathogenesis, diagnosis and treatment. World J Gastroenterol. 2014; 20:16891-16901. https://doi: 10.3748/wjg.v20.i45.16891

Vázquez R, Rivera Y, Aguayo AK, Alfaro JE, Argüello GA, Cadena JF, et al. Consenso de la Asociación Mexicana de Gastroenterología sobre el diagnóstico y tratamiento de pancreatitis aguda en niñas, niños y adolescentes. Rev Gastroenterol Mex. 2023; 88:267-281. https://doi: 10.1016/j.rgmxen.2023.04.011

Yadav D, Hawes RH, Brand RE, Anderson MA, Money ME, Banks PA, et al. Alcohol consumption, cigarette smoking, and the risk of recurrent acute and chronic pancreatitis. Arch Intern Med. 2009; 169:1035-1045. https://doi:10.1001/archinternmed.2009.125

Belabbes FZ, Mounsif S, Faquir N, Cherkaoui Jaouad MR, Habi J, Rouibaa F. Pancreas divisum causing recurrent pancreatitis in a young patient: A case report. Radiol Case Rep. 2023 Jul 28;18:3535-3538. https://doi:10.1016/j.radcr.2023.07.028

Morinville VD, Husain SZ, Bai H, Barth B, Alhosh R, Durie PR, et al. Definitions of pediatric pancreatitis and survey of present clinical practices. J Pediatr Gastroenterol Nutr. 2012; 55:261-265. https://doi: 10.1097/MPG.0b013e31824f1516

Ellery KM, Uc A. Recurrent Pancreatitis in Children: Past, Present, and Future. J Pediatr Gastroenterol Nutr. 2020;70:413-416. https://doi: 10.1097/MPG.0000000000002619

Murcio E. Pancreatitis aguda recurrente: abordaje y tratamiento endoscópico. Endoscopía. 2022; 34 111-116. https://doi: 10.24875/END.23000016

Gariepy CE, Ooi CY, Maqbool A, Ellery KM. Demographics and risk factors for pediatric recurrent acute pancreatitis. Curr Opin Gastroenterol. 2021;37:491-497. https://doi: 10.1097/MOG.0000000000000764

Mortarini MA, Hincapie Butto J, Basso S, Rocca A. Pancreatitis recurrente en pediatría: serie de casos. Arch Argent Pediatr. 2021;119:e222-e325. https://doi: 10.5546/aap.2021.e322

Argüello JA, García ES, Miranda AL, Blanco G. Clinical and paraclinical characteristics in pediatric patients with acute recurrent and chronic pancreatitis: a cohort in Mexico. Bol Med Hosp Infant Mex. 2023;80:122-128.https://doi: 10.24875/BMHIM.22000144

Fonseca EV, Guerrero R. Acute pancreatitis and recurrent acute pancreatitis: an exploration of clinical and etiologic factors and outcomes. J Pediatr (Rio J). 2019;95:713-719. https://doi: 10.1016/j.jped.2018.06.011

Lin TK, Abu-El-Haija M, Nathan JD, Palermo JP, Barth B, Bellin M, et al. Pancreas Divisum in Pediatric Acute Recurrent and Chronic Pancreatitis: Report From INSPPIRE. J Clin Gastroenterol. 2019;53:e232-e238. https://doi: 10.1097/MCG.0000000000001063

Kushnir VM, Wani SB, Fowler K, Menias C, Varma R, Narra V, et al. Sensitivity of endoscopic ultrasound, multidetector computed tomography, and magnetic resonance cholangiopancreatography in the diagnosis of pancreas divisum: a tertiary center experience. Pancreas. 2013;42: 436-441. https://doi: 10.1097/MPA.0b013e31826c711a

Lin TK, Pathak SJ, Hornung LN, Vitale DS, Nathan JD, Abu-El-Haija M. Clinical Outcomes Following Therapeutic Endoscopic Retrograde Cholangiopancreatography in Children With Pancreas Divisum. J Pediatr Gastroenterol Nutr. 2021;72:300-305. https://doi: 10.1097/MPG.0000000000002996