AMPULLAR INTESTINAL DUPLICATION FILLED WI TH STONES CAUSING RECURRENTACUTE-PANCREATITIS

Objectives: anatomical anomalies are recognised but rare causes of acu te pancreatitis. We report a case or a 33-year-old woman with recurren ts attacks of acute pancreatitis associated with a ampullar intestinal duplication. Material and method: this patient was clinically studied , and a barium contrast study of the duodenum showed a filling defect in the second part of the duodenum, that was thought to be a periampul lary lipoma. Endoscopic retrograde cholangiopancreatography was schedu led, but cannulation of the papillary orifice failed. Results: laparot omy and surgical resection of the lesion were performed. Pathological study of the specimen revealed a duodenal duplication filled with mult iple calculi. Conclusion: this entity should be considered among the l esions that can cause recurrent acute pancreatitis.