Service des Urgences Chirurgicales Viscérales, CHU Ibn Rochd, Université Hassane II, Faculté de Médecine et de Pharmacie (FMPC), Casablanca, Maroc.
Pan Afr Med J. 2020 Oct 29;37:202. doi: 10.11604/pamj.2020.37.202.23218. eCollection 2020.
Acute pancreatitis is an inflammation of the pancreas that can be caused in rare situations by ansa pancreatica, it is a rare anatomic variation of the pancreatic ducts. It is a communication between the main pancreatic duct (Wirsung) and the accessory pancreatic duct (Santorini). We report a case of the patient, in a 44-year-old, non-alcoholic, hospitalized for acute pancreatitis stage C of Baltazar. A magnetic resonance Cholangiopancreatography (MRCP) was performed which showed a gallstone and ansa pancreatica, than an endoscopic retrograde cholangiopancreatography (ERCP) revealed an ansa pancreatica with a common bile duct clear, a sphincterotomy of the major papilla was performed. It is still not clear whether the presence of these two pathologies is a coincidence or if the ansa pancreatica is the cause of acute pancreatitis. New studies are necessary to clarify these points.
急性胰腺炎是胰腺的炎症，在罕见情况下可能由胰管ansa 引起，它是胰腺管的一种罕见解剖变异。它是主胰管（Wirsung）和副胰管（Santorini）之间的连通。我们报告了一例患者，该患者为 44 岁非酒精性，因急性胰腺炎 Baltazar C 期住院。进行了磁共振胆胰管成像（MRCP）检查，显示有胆石症和胰管ansa，然后进行了内镜逆行胰胆管造影（ERCP），显示胰管ansa 与胆总管通畅，对主乳头进行了括约肌切开术。目前尚不清楚这两种病理的存在是巧合还是胰管ansa 是急性胰腺炎的原因。需要进一步的研究来阐明这些问题。
