Abstract

PENALOZA-RAMIREZ, Arecio et al. Sphincter of Oddi dysfunction: Case report. Rev. colomb. Gastroenterol. [online]. 2021, vol.36, suppl.1, pp.52-58.  Epub Feb 21, 2022. ISSN 0120-9957.  https://doi.org/10.22516/25007440.550.

Sphincter of Oddi dysfunction is a clinical syndrome caused by functional (dyskinesia) or structural (stenosis) disease. The estimated prevalence of this condition in the general population is 1%, reaching 20% in patients with persistent pain after cholecystectomy and 70% in patients with idiopathic recurrent acute pancreatitis. It is clinically characterized by the presence of abdominal pain, similar to biliary colic or pancreatic pain in the absence of organic biliary disease. It is also observed in patients with idiopathic recurrent pancreatitis, associated with elevated pancreatic or hepatic enzymes, and bile duct and/or pancreatic duct dilatation. Treatment for sphincter of Oddi dysfunction type I is based on endoscopic sphincterotomy, but there is controversy regarding the management of sphincter of Oddi dysfunction types II and III. This article presents the clinical case of a 67-year-old female patient with a history of cholecystectomy by laparotomy. After the surgical procedure, she reported abdominal pain predominantly in the right hypochondrium, colicky, associated with emesis of biliary characteristics. Cholangioresonance report revealed mild intrahepatic bile duct dilatation, and scintigraphy with HIDA scan showed sphincter of Oddi dysfunction. Endoscopic sphincterotomy was performed. The patient was asymptomatic and the sphincter of Oddi dysfunction had resolved at two-year follow-up.

Keywords : Sphincter of Oddi dyskinesia; Endoscopic sphincterotomy; Scintigraphy; Endoscopic retrograde cholangiopancreatography.

        · abstract in Spanish     · text in English | Spanish     · English ( pdf ) | Spanish ( pdf )