Skip to main content

Advertisement

Log in

Chronic pancreatitis with pancreaticolithiasis and pseudocyst in a 5-year-old boy with homozygous SPINK1 mutation

  • Case Report
  • Published:
Pediatric Radiology Aims and scope Submit manuscript

Abstract

We report a 5-year-old boy with a 5-month history of symptoms owing to chronic pancreatitis. Abdominal imaging revealed a large pseudocyst in the pancreatic tail and concretions in the main pancreatic duct. Successful endoscopic papillotomy and stent implantation were performed. Genetic testing showed homozygous SPINK1-N34S mutation, which is an established risk factor for chronic pancreatitis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Queizan A, Hernandez F, Rivas S (2003) Pancreatic pseudocyst caused by valproic acid: case report and review of the literature. Eur J Pediatr Surg 13:60–62

    Article  CAS  PubMed  Google Scholar 

  2. Jeong JB, Whang JH, Ryu JK, et al (2004) Risk factors for pancreatitis in patients with anomalous union of pancreatobiliary duct. Hepatogastroenterology 51:1187–1190

    CAS  PubMed  Google Scholar 

  3. Werlin SL, Kugathasan S, Frautschy BC (2003) Pancreatitis in children. J Pediatr Gastroenterol Nutr 37:591–595

    PubMed  Google Scholar 

  4. Millar AJ, Rode H, Stunden RJ, et al (1988) Management of pancreatic pseudocysts in children. J Pediatr Surg 23:122–127

    CAS  PubMed  Google Scholar 

  5. Asano T, Matsumoto T, Zhi CL, et al (2003) Solid and cystic tumor of the pancreas in a 12-year-old boy. Pediatr Int 45:339–341

    Article  PubMed  Google Scholar 

  6. Illert B, Luhrs H, Timmermann W, et al (2003) Solid-pseudopapillary tumor of the pancreas as differential diagnosis in pancreatic tumors of the young. Zentralbl Chir 128:438–442

    Article  CAS  PubMed  Google Scholar 

  7. Whitcomb DC, Gorry MC, Preston RA, et al (1996) Hereditary pancreatitis is caused by a mutation in the cationic trypsinogen gene. Nat Genet 14:141–145

    Article  CAS  PubMed  Google Scholar 

  8. Witt H, Luck W, Becker M, et al (2001) Mutation in the SPINK1 trypsin inhibitor gene, alcohol use, and chronic pancreatitis. JAMA 285:2716–2717

    Article  CAS  Google Scholar 

  9. Witt H, Luck W, Hennies HC, et al (2000) Mutations in the gene encoding the serine protease inhibitor, Kazal type 1, are associated with chronic pancreatitis. Nat Genet 25:213–216

    Article  CAS  PubMed  Google Scholar 

  10. Chandak GR, Idris MM, Reddy DN, et al (2002) Mutations in the pancreatic secretory trypsin inhibitor gene (PSTI/SPINK1) rather than the cationic trypsinogen gene (PRSS1) are significantly associated with tropical calcific pancreatitis. J Med Genet 39:347–351

    Article  CAS  PubMed  Google Scholar 

  11. Chandak GR, Idris MM, Reddy DN, et al (2004) Absence of PRSS1 mutations and association of SPINK1 trypsin inhibitor mutations in hereditary and non-hereditary chronic pancreatitis. Gut 53:723–728

    Article  CAS  PubMed  Google Scholar 

  12. Haddock G, Coupar G, Youngson GG, et al (1994) Acute pancreatitis in children: a 15-year review. J Pediatr Surg 29:719–722

    Article  CAS  Google Scholar 

  13. Kouchi K, Tanabe M, Yoshida H, et al (1999) Nonoperative management of blunt pancreatic injury in childhood. J Pediatr Surg 34:1736–1739

    Article  CAS  PubMed  Google Scholar 

  14. Burnweit C, Wesson D, Stringer D (1990) Percutaneous drainage of traumatic pancreatic pseudocysts in children. J Trauma 30:1273–1277

    CAS  PubMed  Google Scholar 

  15. Karaguzel G, Senocak ME, Buyukpamukcu N, et al (1995) Surgical management of the pancreatic pseudocyst in children: a long-term evaluation. J Pediatr Surg 30:777–780

    Article  CAS  PubMed  Google Scholar 

  16. Jaffe RB, Arata JA Jr, Matlak ME (1989) Percutaneous drainage of traumatic pancreatic pseudocysts in children. AJR 152:591–595

    CAS  PubMed  Google Scholar 

  17. Pitchumoni CS, Agarwal N (1999) Pancreatic pseudocysts. When and how should drainage be performed? gastroenterol Clin North Am 28:615–639

    CAS  PubMed  Google Scholar 

  18. Bridoux-Henno L, Dabadie A, Rambeau M, et al (2004) Successful endoscopic drainage of a pancreatic pseudocyst in a 17-month-old boy. Eur J Pediatr 163:482–484

    Article  PubMed  Google Scholar 

  19. Breckon V, Thomson SR, Hadley GP (2001) Internal drainage of pancreatic pseudocysts in children using an endoscopically-placed stent. Pediatr Surg Int 17:621–623

    Article  CAS  PubMed  Google Scholar 

  20. Haluszka O, Campbell A, Horvath K (2002) Endoscopic management of pancreatic pseudocyst in children. Gastrointest Endosc 55:128–131

    Article  PubMed  Google Scholar 

  21. Patty I, Kalaoui M, Al Shamali M, et al (2001) Endoscopic drainage for pancreatic pseudocyst in children. J Pediatr Surg 36:503–505

    Article  CAS  PubMed  Google Scholar 

  22. Kimble RM, Cohen R, Williams S (1999) Successful endoscopic drainage of a posttraumatic pancreatic pseudocyst in a child. J Pediatr Surg 34:1518–1520

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Wolfgang Hirsch.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kühn, A.C., Teich, N., Caca, K. et al. Chronic pancreatitis with pancreaticolithiasis and pseudocyst in a 5-year-old boy with homozygous SPINK1 mutation. Pediatr Radiol 35, 902–905 (2005). https://doi.org/10.1007/s00247-005-1477-8

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00247-005-1477-8

Keywords

Navigation