Pancreas divisum

Case contributed by Mohamed Saber
Diagnosis almost certain

Presentation

Recurrent abdominal pain.

Patient Data

Age: 30 years
Gender: Male
mri
This study is a stack
Axial T2
fat sat
This study is a stack
Axial
T2
This study is a stack
Coronal
T2
This study is a stack
3D
MRCP
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Info

Pancreatic ductal anatomical variation with the dorsal main pancreatic duct drains dorsally into the minor ampulla and the ventral duct does not communicate with the dorsal duct but joins with the distal CBD to enter the major ampulla. A minimally prominent main dorsal pancreatic duct is noted.

Case Discussion

This patient was complaining of recurrent abdominal pain secondary to attacks of idiopathic pancreatitis. An MRCP was done in between attacks and revealed a pancreas divisum, a variation in pancreatic ductal anatomy that can be associated with abdominal pain and idiopathic pancreatitis.

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