Fig. 5

Case 5 (a, b): At the time of the initial endoscopic retrograde cholangiopancreatography, stenosis was found in the main pancreatic duct, as seen in the figure. Pancreatic duct stent placement was performed. c Improvement of stenosis observed at the time of pancreatic duct stent removal. No recurrence of pancreatitis was observed for 14 years and 5 months after stent removal. Case 9 (d) Contrast imaging of the main papilla shows disruption of the Wirsung duct (e) Contrast imaging of the caudal pancreatic duct through contrast imaging of the accessory papilla (f) Stent placement from the accessory papilla to the caudal pancreatic duct Endoscopic minor papilla sphincterotomy was performed, and no recurrence of pancreatitis was observed for 15 months