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Cystic Duct Lithiasis Post-Cholecystectomy: A Singular Etiology Leading to Recurrent Acute Pancreatitis

Bendjaballah A*, Taieb M, Djouini MI, Mechri S, Nait Slimane N, Ammari S and Khiali R

Recurrent acute pancreatitis is a disease that manifests itself as two or more documented attacks of acute pancreatitis with an interval of at least three months between the first and second outbreak. The most common etiologies of acute pancreatitis (AP) and recurrent acute pancreatitis (RAP) are dominated essentially by gallstones and ethylism. We present a very unusual case of RAP in a 71 year old patient who was cholecystectomized in 1984 but who had to regularly attend the emergency room for abdominal pain without identifying the precise diagnosis. Endoscopic ultrasound was of great help and allowed the diagnosis to be made. It is a cystic duct lithiasis. An Endoscopic Sphincterotomy (ES) was performed to prevent a new recurrence of pancreatitis.