Wirsungocele refers to a cystic dilatation of the pancreatic duct of Wirsung, which is the portion of ventral duct between the dorsal-ventral junction and major duodenal papilla. It is believed to be analogous to a choledochocele and santorinicele.
It may be an incidental finding or associated with chronic abdominal pain and recurrent acute pancreatitis.
Treatment and prognosis
Endoscopic bilio-pancreatic sphincterotomy and balloon dilatation have resulted in a positive prognosis 4.
History and etymology
Wirsungocele was first described in 2004 by Gupta et al.
- 1. Gupta R, Lakhtakia S, Tandan M, Santosh D, Rao GV, Reddy DN. Recurrent acute pancreatitis and Wirsungocele. A case report and review of literature. JOP : Journal of the pancreas. 9 (4): 531-3. Pubmed
- 2. Türkvatan A, Erden A, Türkoğlu MA, Yener Ö. Congenital variants and anomalies of the pancreas and pancreatic duct: imaging by magnetic resonance cholangiopancreaticography and multidetector computed tomography. Korean journal of radiology. 14 (6): 905-13. doi:10.3348/kjr.2013.14.6.905 - Pubmed
- 3. Abu-Hamda EM, Baron TH. Cystic dilatation of the intraduodenal portion of the duct of Wirsung (Wirsungocele). Gastrointestinal endoscopy. 59 (6): 745-7. Pubmed
- 4. Ronald L. Y. Cheung, Shannon M. Chan, Hon C. Yip, Anthony Y. B. Teoh Endoscopic management of Wirsungocele with recurrent acute pancreatitis https://www.thieme-connect.de/media/endoscopy/EFirst/lookinside/1333_10-1055-a-1046-1940-1.jpg
- 5. Coelho D, Coelho AJ, Coelho LFE, Coelho J, Coelho. Different Clinical Aspects of Wirsungocele: Case Series of Three Patients and Review of Literature. (2011) Acta gastroenterologica Latinoamericana. doi: - Pubmed