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Pediatric Radiology

, Volume 18, Issue 1, pp 28–31 | Cite as

Idiopathic fibrosing pancreatitis: a cause of obstructive jaundice in childhood

  • G. O. AtkinsonJr.
  • J. B. Wyly
  • B. B. GayJr.
  • T. I. Ball
  • K. J. Winn
Originals

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.

Keywords

Pancreatitis Bile Duct Differential Diagnosis Abdominal Pain Pediatric Patient 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Williams TE, Sherman NJ, Clatworthy HW (1967) Chronic fibrosing pancreatitis in childhood: a cause of recurrent abdominal pain. Pediatrics 40–1019Google Scholar
  2. 2.
    Ingomar CJ, Terslev E (1965) A case of chronic pancreatitis in early childhood. Dan Med Bull 12: 91–92PubMedGoogle Scholar
  3. 3.
    Ghishan FK, Greene HL, Avant G, O'Neill J, Neblett W (1983) Chronic relapsing pancreatitis in childhood. J Pediatr 102: 514CrossRefPubMedGoogle Scholar
  4. 4.
    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: 136PubMedGoogle Scholar
  5. 5.
    Raffensperger JG, Given GZ, Warrner RA (1973) Fusiform dilatation of the common bile duct with pancreatitis. J Pediatr Surg 8: 907CrossRefPubMedGoogle Scholar
  6. 6.
    Moynan RW, Neerhout RC, Johnson TS (1964) Pancreatic carcinoma in childhood. J Pediatr 65: 711CrossRefPubMedGoogle Scholar
  7. 7.
    Stafford RJ, Grand RJ (1982) Hereditary disease of the exocrine pancreas. Clin Gastroenterol 11: 141PubMedGoogle Scholar
  8. 8.
    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: 101CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 1988

Authors and Affiliations

  • G. O. AtkinsonJr.
    • 1
    • 3
  • J. B. Wyly
    • 1
  • B. B. GayJr.
    • 1
  • T. I. Ball
    • 1
  • K. J. Winn
    • 2
  1. 1.Department of Radiology of the Emory University School of Medicine and the Henrietta Egleston Hospital for ChildrenAtlantaUSA
  2. 2.Department of Pathology of the Emory University School of Medicine and the Henrietta Egleston Hospital for ChildrenAtlantaUSA
  3. 3.Department of Radiology, Egleston Hospital for ChildrenAtlantaUSA

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