Kissing Gastric Ulcers Causing Acute Pancreatitis and Portal Biliopathy: What’s the Link?

  • Alexandre Mensier Department of Digestive Surgery. Hospital of Armentières. Armentières, France
  • Farid Bounoua Department of Digestive Surgery. Hospital of Armentières. Armentières, France
  • Gabriel Beretvas Department of Digestive Surgery. Hospital of Armentières. Armentières, France
  • Andreia Mosoi Department of Medical Imaging. Hospital of Armentières. Armentières, France
  • Sabrina Dardenne Department of Digestive Surgery. Hospital of Armentières. Armentières, France
Keywords: Pancreatitis, Portal Vein, Cavernous Transformation Of, Stomach Ulcer, Thrombosis

Abstract

Context Acute pancreatitis is often caused by acute alcoholic intoxication or biliary stone migration. Other etiologies are less frequent. Case report We report an exceptional case of kissing ulcer as the cause of an acute pancreatitis due to the perforation of the posterior ulcus into the pancreas. More remarkable is the association of a left portal branch thrombosis and a portal biliopathy. Conclusion We describe a case of acute pancreatitis of unusual origin, associated with an equally uncommon pathology which is portal cavernoma. A literature review is then exposed to try to ascertain if there is a connection between these two entities.

Image: MRI showing portal cavernoma.

Downloads

Download data is not yet available.

References

Thorsen K, Soreide JA, Kvaloy JT, Glomsaker T, Soreide K. Epidemiology of perforated peptic ulcer : age- and gender – adjusted analysis of incidence and mortality. World J Gastroenterol. 2013;19(3):347-54. (PMID: 23372356).

Sandzen B, Rosenmüller M, Haapamäki M.M, Nilsson E, Stenlund H.C, Oman M. First attack of acute pancreatitis in Sweden 1988-2003 : incidence, aetiological classification, procedures and mortality – a register study. BMC Gatroenterol. 2009;9:18. (PMCID: PMC2669478).

Uyanikoglu A., Danalioglu A., Akyuz F., Ermis F., Gulluoglu M., Kapran Y., Demir K., Ozdil S., Beisisk F., Boztas G., Mungan Z., Kaymakoglu S. Turk J Gastroenterol. 2012;23(2) :99-103. (PMID :22706736).

Vahedian J., Keramati MR., Hashemi MH., Vasigh M. DuodenalKissing Ulcer (sealed anterior perforated duodenal ulcer combined with hemorrhagic posterior ulcer) : report of a case. Govaresh.2010 ;15(3) :243-246.

Fujihara S., Mori H., Nishiyama N., Kobara H., Masaki T. Giant gastric ulcer penetrating into the pancreas. Arab J Gatsroenterol. 2012 ;13(3) :158-60. (PMID : 23122461).

Vibert E., Azoulay D., Castaig D., Bismuth H. Portal caverboma : diagnosis, aetiologies and consequences. Ann Chir.2002 ;127(10) :745-50. (PMID : 12538094).

Bayraktar Y.Portal ductopathy : clinical importance and nomenclature. World J Gastroenterol. 2011;17(11):1410-1415. (PMID : 21472098).

Quarrie R., Stawicki S.P. Portal vein thrombosis : What surgeons need to know. OPUS 12 Scientist 2008;2(3):30-33.

Somnath Chattopadhyay S, Nundy S. Portal biliopathy. World J Gastroenterol. 2012;18(43):6177-6182. (PMID : 23180936).

Oluyemi A., Amole A. Portal Hypertensive Duodenopathy Manifesting as « Kissing » Duodenal Ulcers in a Nigerian with alcoholic Cirrhosis : A case Report and brief review of the literature. Case Rep Med. 2012;2012(618729):1-4. (PMID : 23118766).

MRI showing portal cavernoma
Published
2013-11-10
How to Cite
MensierA., BounouaF., BeretvasG., MosoiA., & DardenneS. (2013). Kissing Gastric Ulcers Causing Acute Pancreatitis and Portal Biliopathy: What’s the Link?. JOP. Journal of the Pancreas, 14(6), 646-648. https://doi.org/10.6092/1590-8577/1546