Abstract
Pancreaticobiliary maljunction, an abnormal junction between pancreatic and Common Bile Duct (CBD) which forms before the opening in duodenum to form a long common channel, with or without biliary dilatation is a rare cause of recurrent pancreatitis in children. The anomalous junction results in reflux of pancreatic juices into the biliary tract leading to injury. This report describes a pediatric patient presenting with recurrent acute pancreatitis, suspected to have long common pancreaticobiliary maljunction based on ultrasound describing dilated common bile duct. The role of Magnetic Resonance Cholangiopancreatography (MRCP) in diagnosis and the role of endoscopy in management of the patient has been described.
Keywords
Long common channel, Pancreaticobiliary maljunction, Magnetic Resonance Cholangiopancreatography (MRCP), Endoscopic Retrograde Cholangiopancreatography (ERCP)