We report the case of a 31-year-old male with recurrent episodes of acute pancreatitis, subsequently discovered to have a rare type III choledochal cyst, also termed a choledochocele. This case demonstrates the utility of multiple imaging techniques to diagnose the correct etiology of the patient's pancreatitis, as well as to appropriately plan surgical intervention. For many years, endoscopic retrograde cholangeopancreatography has been the gold-standard for diagnosis of type III choledochal cysts; this procedure, however, carries a significant degree of morbidity and may perhaps be circumvented with the advent of advanced imaging techniques that allow for visualization of the intraduodenal portion of the biliary tract. In this case, CT and MR imaging demonstrated a spherical, cyst-like structure extending from the pancreatic duct into the second part of the duodenum, suggestive of a choledochocele. Presence of the choledochocele and its exact anatomy were confirmed with ERCP. This imaging, in combination with the appropriate clinical constellation of symptoms, enabled correct identification of the etiology of the patient's unexplained recurrent episodes of pancreatitis, allowing for appropriate and curative surgical intervention.
p < .001). Finally, when asked if palliative care improved quality of life, scores increased from 7.3 to 9.2 (p < .001).Discussion. The results of pre-and post-viewing questionnaires support the effectiveness of this video to educate, inform and give viewers a positive perception of palliative care. This video was shown to a mixed group of medical providers and the general public and all improved their scores in terms of palliative care knowledge and acceptability.
Conclusion.This video is best used not in place of, but after, an initial discussion about palliative care between patient and physician. Based on the outcomes of this research, people will be more willing to accept palliative care after viewing this video.
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