A RARE CAUSE OF ACUTE-PANCREATITIS - PHYT OBEZOAR IN AN INTRALUMINAL DIVERTICULUM IN DUODENAL ATRESIA TYPE-I, INTESTINAL MALROTATION AND RUDIMENTARY ANULAR PANCREAS

A 28-year-old woman was hospitalized because of the third episode of a cute pancreatitis. No hint for an extrinsic cause was evident. Under c onservative treatment pancreatitis and signs of intestinal obstruction were persisting. Imaging procedures showed an undefinite mass in the neighbourhood of the pancreatic caput. Endoscopy revealed a phytobezoa r in a wind sock web, a special form of congenital duodenal atresia. O bstructing the papilla of Vater the bezoar had caused acute pancreatit is. After endoscopical removal the symptoms of pancreatitis disappeare d immediately. Web excision and duodenoduodenostomy were performed. At operation further anomalies of the gastrointestinal tract frequently associated with duodenenal atresia were found.