Review
Microlithiasis: an important cause of "idiopathic" acute pancreatitis?
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Review
Microlithiasis: an important cause of "idiopathic" acute pancreatitis?
Ann Hepatol.
2003 Jan-Mar.
Free article
Abstract
Microlithiasis is the underlying cause in a significant proportion of patients with "idiopathic" acute pancreatitis. The mechanism appears to be a relative deficiency of phosphatidylcholine in bile, with fast and extensive cholesterol crystallization as a result. Diagnosis of microlithiasis by microscopic detection of cholesterol crystals in bile is important and should lead to appropriate therapy (cholecystectomy, endoscopic sphincterotomy or ursodeoxycholic acid maintenance therapy).
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