A case of idiopathic recurrent pancreatitis successfully treated using octreotide and endoscopic stent

Abstract

35-year-old female visited another hospital complaining of repeated abdominal pain, and the condition was diagnosed as idiopathic recurrent pancreatitis. She was transferred to our hospital to scrutinize the cause of recurrent pancreatitis. We performed endoscopic retrograde pancreatography to find the cause, but we failed in deep cannulation into the pancreatic duct because of a strong duodenum inflammation. Pancreatitis repeatedly recurred after the examinations.Octreotide was used to improve pancreatitis and suppress inflammation of the duodenum. Cannulation into distal pancreatic duct became possible after resolution of pancreatitis and duodenal inflammation. After insertion of a pancreatic duct stent had been inserted, the relapse of pancreatitis was not seen.