Duodenal dystrophy is a chronic inflammation of the tissues of the pancreas, ectopic into the wall of the duodenum. Duodenal dystrophy is a variant of the aberrant pancreas. Its most frequent complications are acute or chronic pancreatitis, and a violation of duodenal passability, which, along with severe pain are indications for surgical treatment. Pancreaticoduodenal resection is recognized as an operation of choice. The data of patients with duodenal dystrophy observed in MCSC are presented. A clinical case is demonstrating the effective elimination of pain after the laparoscopic pancreaticoduodenal resection, albeit being accompanied by the development of pancreatic insufficiency which requires constant enzyme replacement therapy.
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