Endoscopic intervention for pancreatolithiasis pancreatolithiasis complicated by acute obstruction of the major duodenal papilla

Aim. To analyze current methods of diagnosis and endoscopic management of Wirsungolithiasis and to present a clinical case demonstrating the successful staged endoscopic management.

Material and Methods. A literature review was conducted, and a clinical case of a female patient with Wirsungolithiasis complicated by acute obstruction of the major duodenal papilla was described. Results. Endoscopic methods enabled resolution of papillary obstruction, removal of pancreatic duct stones, and restoration of ductal patency, thereby avoiding open pancreatic surgery. Following three stages of management (sphincterotomy, lithextraction, and restenting), the patient’s condition and laboratory parameters normalized.

Conclusion. Endoscopic methods (lithotripsy, stenting) are standard procedures for Wirsungolithiasis due to their minimally invasive nature, efficacy, and low risk of recurrence. However, complications associated with stenting require strict monitoring. Clinical surveillance supports the necessity for a staged approach and the development of standardized protocols to optimize outcomes.

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