Hereditary pancreatitis: An updated review in pediatrics

Figure 1 Radial endoscopic ultrasound in a 13 year old male with SPINK1 and CTRC gene mutations demonstrating pancreatic duct dilatation (arrow) in addition to chronic parenchymal changes: Honeycombing with lobularity, non-shadowing hyperechoic foci, cystic changes and hyperechoic duct margins.

Figure 2 Endoscopic retrograde cholangiopancreatography in a 10 year old male with a CFTR gene mutation and pancreas divisum demonstrating contrast entering the dorsal pancreatic duct (arrows) from the common bile duct during a balloon occlusion cholangiogram. This occurred due to a fistula between the common bile duct and pancreatic duct secondary to repeated episodes of acute pancreatitis.