Li JF, Xie MJ, Wei JX, Yang CN, Chen GW, Li LQ, Zhao YN, Liu LJ, Xie S. Common bile duct stump stones and recurrent acute pancreatitis after Roux-en-Y choledochojejunostomy in a child: A case report. World J Gastrointest Surg 2025; 17(2): 102105 [DOI: 10.4240/wjgs.v17.i2.102105]
Corresponding Author of This Article
Li-Jian Liu, Chief Physician, MD, Department of Gastroenterology, The First Affiliated Hospital of Guangxi University of Chinese Medicine, No. 89-9 Dongge Road, Nanning 530023, Guangxi Zhuang Autonomous Region, China. liulijian0_1@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Jian-Feng Li, Jin-Xiu Wei, Cheng-Ning Yang, Guang-Wen Chen, Li-Qun Li, Yi-Na Zhao, Li-Jian Liu, Sheng Xie, Department of Gastroenterology, The First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning 530023, Guangxi Zhuang Autonomous Region, China
Min-Jian Xie, Faculty of Graduate Studies, Guangxi University of Chinese Medicine, Nanning 530222, Guangxi Zhuang Autonomous Region, China
Co-first authors: Jian-Feng Li and Min-Jian Xie.
Co-corresponding authors: Li-Jian Liu and Sheng Xie.
Author contributions: Li JF, Xie MJ, Wei JX, Yang CN, Chen GW, Li LQ, Zhao YN, Liu LJ, and Xie S contributed to this paper; Li JF and Xie MJ contributed equally to this work as co-first authors; Liu LJ and Xie S designed the overall concept and outline of the manuscript, they contributed equally as co-corresponding authors; Liu LJ and Li JF performed the surgical procedure and wrote the paper; Wei JX and Yang CN managed the patient; Li LQ, Zhao YN, and Xie MJ contributed to the discussion and design of the manuscript and edited the pictures.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Li-Jian Liu, Chief Physician, MD, Department of Gastroenterology, The First Affiliated Hospital of Guangxi University of Chinese Medicine, No. 89-9 Dongge Road, Nanning 530023, Guangxi Zhuang Autonomous Region, China. liulijian0_1@163.com
Received: October 9, 2024 Revised: November 11, 2024 Accepted: December 19, 2024 Published online: February 27, 2025 Processing time: 105 Days and 4.6 Hours
Abstract
BACKGROUND
Pancreaticobiliary maljunction (PBM) is a rare congenital abnormality in pancreaticobiliary duct development. PBM is commonly found in children, and it often leads to acute pancreatitis and other diseases as a result of pancreaticobiliary reflux. Roux-en-Y choledochojejunostomy is a common surgical method for the treatment of PBM, but there are several associated complications that may occur after this operation.
CASE SUMMARY
The patient, a 12-year-old female, was hospitalized nearly 20 times in 2021 for recurrent acute pancreatitis. In 2022, she was diagnosed with PBM and underwent laparoscopic common bile duct resection and Roux-en-Y choledochojejunostomy in a tertiary hospital. In the first year after surgery, the patient had more than 10 recurrent acute pancreatitis episodes. After undergoing abdominal computed tomography and other examinations, she was diagnosed with “residual bile duct stones and recurrent acute pancreatitis”. On January 30, 2024, the patient was admitted to our hospital due to recurrent upper abdominal pain and was cured through endoscopic retrograde cholangiopancreatography.
CONCLUSION
This article reports a case of a child with distal residual common bile duct stones and recurrent acute pancreatitis after Roux-en-Y choledochojejunostomy for PBM. The patient was cured through endoscopic retrograde cholangiopancreatography.
Core Tip: This paper reports a case of common bile duct stump stones and recurrent acute pancreatitis in a child after Roux-en-Y choledochojejunostomy was performed to treat pancreaticobiliary maljunction. She was cured through endoscopic retrograde cholangiopancreatography, and this successful case provides a valuable reference for the clinical treatment of postoperative gastrointestinal diseases in the future, and helps to reduce the incidence and mortality of patients.
