@entity788 and XXXX in childhood.

@entity1 @entity788 @entity660 @entity513 @entity158 @entity490
From January 1978 to December 1989, 48 @entity1 were diagnosed as having @entity513 (AUPBD) at the Second Department of Surgery, Kanazawa University Hospital and its affiliated hospitals. Among these 48 @entity1 , 13 (28.1%) were @entity1 under 13 years of age. Four of these @entity1 had acute @entity788 . The clinical, radiological, and surgical features of these @entity1 are presented. The chief presenting complaint was @entity158 in all cases; three @entity1 had recurrent episodes of @entity158 and had been diagnosed as having autotoxicosis. AUPBD was clearly demonstrated in all @entity1 , three by endoscopic retrograde cholangiopancreatography (ERCP) and one by operative cholangiography. At operation, macroscopic evidence of @entity788 was recognized in all cases. In one case, roentogenolucent pancreaticolithiases were seen on ERCP. We consider AUPBD as an important cause of @entity788 in @entity1 and advocate ERCP in @entity1 who are suspected having biliary tract or @entity660 . The diagnosis of AUPBD should be considered when @entity1 with @entity490 and elevated serum or urinary amylase levels are evaluated.
