Abstract

Acute recurrent pancreatitis can result from a variety of abnormalities involving the terminal end of the distal choledochus, pancreatic duct, ampulla of Vater, and the major duodenal papilla. Choledochocele, pancreatic ductal adenocarcinoma, papillary stenosis, papillary tumor, and sphincter of Oddi dysfunction are some such conditions causing acute recurrent pancreatitis.1 Aberrant cystic duct insertion to the ampulla of Vater causing acute recurrent pancreatitis has not been reported before. We report the case of a 70-year-old man who presented with acute recurrent pancreatitis probably related to anomalous cystic duct insertion at the ampulla of Vater who became asymptomatic after laparoscopic cholecystectomy.

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