Abstract
Sphincter of Oddi dyskinesia (SOD) is among the less frequent causes of acute recurrent pancreatitis. We report on a patient with frequent pain attacks accompanied by pancreatic enzyme elevation, in whom a transitory decrease of the SO pressure following endoscopic botulinus toxin injection was a diagnostic clue for SOD. The patient's symptoms resolved for 4 months, after which time recurrent symptoms paralleled the reoccurrence of the elevated SO pressure. Endoscopic sphincterotomy of the biliary sphincter relieved her symptoms for the subsequent follow-up period which is now 10 months.
MeSH terms
-
Acute Disease
-
Adult
-
Amylases / blood
-
Anti-Dyskinesia Agents* / therapeutic use
-
Botulinum Toxins* / therapeutic use
-
Cholestasis / complications
-
Cholestasis / diagnosis*
-
Cholestasis / surgery
-
Cholestasis / therapy
-
Common Bile Duct Diseases / complications
-
Common Bile Duct Diseases / diagnosis
-
Common Bile Duct Diseases / surgery
-
Common Bile Duct Diseases / therapy
-
Endoscopy, Digestive System
-
Female
-
Follow-Up Studies
-
Humans
-
Lipase / blood
-
Pancreatitis / etiology*
-
Pressure
-
Recurrence
-
Remission Induction
-
Sphincter of Oddi / physiopathology*
-
Sphincter of Oddi / surgery
-
Sphincterotomy, Endoscopic
Substances
-
Anti-Dyskinesia Agents
-
Lipase
-
Amylases
-
Botulinum Toxins