Abstract
Idiopathic fibrosing pancreatitis is a chronic process of unknown etiology characterized by extensive infiltration of the pancreatic parenchyma by fibrous tissue [1, 2]. This disease process is uncommon in the pediatric patient and is consequently rarely considered in the differential diagnosis of abdominal pain and jaundice in the child. The sonographic demonstration of a dilated biliary tree and common bile duct compressed by an enlarged pancreas may be the first suggestion of this entity. Two patients with idiopathic fibrosing pancreatitis and obstructive jaundice are reported with a review of the clinical, radiographic, and pathologic findings.
Similar content being viewed by others
References
Williams TE, Sherman NJ, Clatworthy HW (1967) Chronic fibrosing pancreatitis in childhood: a cause of recurrent abdominal pain. Pediatrics 40–1019
Ingomar CJ, Terslev E (1965) A case of chronic pancreatitis in early childhood. Dan Med Bull 12: 91–92
Ghishan FK, Greene HL, Avant G, O'Neill J, Neblett W (1983) Chronic relapsing pancreatitis in childhood. J Pediatr 102: 514
Meneely RL, O'Neill J, Ghishan FK (1981) Fibrosing pancreatitis — an obscure cause of painless obstructive jaundice: a case report and review of the literature. Pediatrics 67: 136
Raffensperger JG, Given GZ, Warrner RA (1973) Fusiform dilatation of the common bile duct with pancreatitis. J Pediatr Surg 8: 907
Moynan RW, Neerhout RC, Johnson TS (1964) Pancreatic carcinoma in childhood. J Pediatr 65: 711
Stafford RJ, Grand RJ (1982) Hereditary disease of the exocrine pancreas. Clin Gastroenterol 11: 141
Patrick MK, Howman-Giles R, DeSilva M, Van Asperen P, Pitkin J, Gaskin KJ (1986) Common bile duct obstruction causing right upper abdominal pain in cystic fibrosis. J Pediatr 108: 101
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Atkinson, G.O., Wyly, J.B., Gay, B.B. et al. Idiopathic fibrosing pancreatitis: a cause of obstructive jaundice in childhood. Pediatr Radiol 18, 28–31 (1988). https://doi.org/10.1007/BF02395756
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02395756