{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T09:56:31Z","timestamp":1753869391839,"version":"3.41.2"},"reference-count":12,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T00:00:00Z","timestamp":1747008000000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["JGH Open"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Wirsungocele is a rare cystic dilatation of the terminal main pancreatic duct, analogous to choledochocele and santorinicele. It has been associated with recurrent acute or chronic pancreatitis, though its pathogenesis remains unclear. Diagnostic imaging such as MRCP and ERCP plays a pivotal role, and endoscopic intervention is considered the gold standard treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Report<\/jats:title><jats:p>A 10\u2010year\u2010old boy presented with recurrent abdominal pain and fever since age four, diagnosed repeatedly with acute pancreatitis. Imaging via CT, MRCP, and ERCP revealed focal saccular dilation of the distal pancreatic duct consistent with Wirsungocele, along with pancreatic duct stricture and stones. The patient underwent ERCP with pancreatic sphincterotomy, extraction of cheesy material, and placement of a 5 Fr \u00d7 5 cm pancreatic duct stent. Post\u2010procedure, the patient showed marked clinical and radiological improvement with no recurrence of symptoms at one\u2010month follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This case highlights a rare pediatric presentation of Wirsungocele\u2010induced chronic pancreatitis successfully managed with ERCP and stent placement. Early recognition and intervention can lead to significant symptomatic relief and ductal improvement. Further long\u2010term follow\u2010up is necessary to evaluate recurrence and guide future management.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jgh3.70179","type":"journal-article","created":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T06:10:26Z","timestamp":1747116626000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Treatment of Wirsungocele Induced Chronic Pancreatitis by Endoscopic Retrograde Cholangiopancreatography and Stent Placement: A Case Report"],"prefix":"10.1002","volume":"9","author":[{"given":"Nouraiz","family":"Mehmood","sequence":"first","affiliation":[{"name":"Department of Medicine Nishtar Medical University  Multan Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul Ahad","family":"Riaz","sequence":"additional","affiliation":[{"name":"Department of Medicine Nishtar Medical University  Multan Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2003-922X","authenticated-orcid":false,"given":"Allahdad","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Medicine Nishtar Medical University  Multan Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Humaira","family":"Siddique","sequence":"additional","affiliation":[{"name":"Department of Radiology Nishtar Medical University  Multan Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul Sattar","family":"Anjum","sequence":"additional","affiliation":[{"name":"Department of Radiology Nishtar Medical University  Multan Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-9955-0620","authenticated-orcid":false,"given":"Mohamed","family":"Antar","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Tishreen University Faculty of Medicine  Latakia Syrian Arab Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,12]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00261\u2010020\u201002675\u20104"},{"key":"e_1_2_8_3_1","unstructured":"Y.Weerakkody M.Niknejad J.Yap et\u00a0al. \u201cSantorinicele\u201dReference article Radiopaedia.org."},{"key":"e_1_2_8_4_1","unstructured":"Y.Weerakkody H.Knipe B.Rasuli et\u00a0al. \u201cCholedochocele\u201dReference article Radiopaedia.org."},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/a\u20101046\u20101940"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.6092\/1590\u20108577\/1310"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11894\u2010019\u20100727\u20100"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u2010230X\u201013\u201062"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12262\u2010010\u20100040\u20105"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0016\u20105107(04)00292\u20105"},{"key":"e_1_2_8_11_1","first-page":"380","article-title":"Wirsungocele in a Child With Cholelithiasis, Choledocholithiasis, and Recurrent Acute Pancreatitis","volume":"27","author":"Qureshi P. A. A.","year":"2017","journal-title":"Pakistan Journal of Radiology"},{"issue":"3","key":"e_1_2_8_12_1","first-page":"230","article-title":"Different Clinical Aspects of Wirsungocele: Case Series of Three Patients and Review of Literature","volume":"41","author":"Coelho D. 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