[Acute pancreatitis caused by foreign bodies. 2 cases]. / Pancréatite aiguë à corps étrangers. 2 observations.

ABSTRACT

We report the cases of two patients with acute pancreatitis caused by the insertion of foreign bodies in the ampulla of Vater vegetal residues in the first case and beltbuckle in the second case. The acute pancreatitis was revealed by severe epigastric pain, jaundice and a serum amylase increase to more than 9 times the upper limit of normal level. The presence of foreign bodies was detected by endoscopic retrograde cholangiography and pancreatography in the first case and by abdominal X-ray examination in the second case. Extraction of vegetal residues was performed by endoscopic route whereas that of the beltbuckle required surgery. From these 2 cases and 8 others previously reported cases, the clinical features and course of acute pancreatitis caused by foreign bodies have been analysed.