Pancreas divisum

Case contributed by Dr Henry Knipe

Presentation

Epigastric pain.

Patient Data

Age: 70 years
Gender: Male
CT

Swelling fo the pancreatic head and uncinate process with associated fat stranding and a small volume of peripancreatic fluid. Homogeneous pancreatic enhancement with no evidence of necrosis. No biliary dilatation or radiopaque duct stones. Previous cholecystectomy. 

On testing, the lipase was elevated and the patient was admitted for acute pancreatitis. No complications during admission and the patient was referred for a follow-up outpatient MRCP/MR pancreas to determine any underlying cause. 

MRI

Pancreas divisum: the main pancreatic duct drains via the duct of Santorini into the minor papilla. The duct of Wirsung joins with the common bile duct to drain at the major papilla. No pancreatic duct dilatation. No pancreatic mass. No biliary dilatation. No choledocholithiasis. 

Case Discussion

Pancreas divisum is an uncommon cause of pancreatitis, with it mostly being an incidental finding. 

PlayAdd to Share

Case information

rID: 66482
Published: 21st Feb 2019
Last edited: 21st Feb 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.