Pancreatic divisum

Case contributed by Dr Chad Wong

Presentation

75 year old female presents with acute epigastric pain. Cholelithiasis seen on bedside USS, lipase 1100.

Patient Data

Age: 75 years old
Gender: Female
Modality: MRI

Cholelithiasis with 5 mm calculus within the right hepatic duct. CBD calibre is satisfactory for the patient's age.  No main pancreatic duct dilation. 

Pancreatic divisum noted with the main pancreatic duct draining into the minor papilla superior to the ampulla. The CBD appears to drain normally into the ampulla.

Case Discussion

The patient's mild pancreatitis resolved with conservative management, and was discharged home with a plan for an interval laparoscopic cholecystectomy following medical optimisation.

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Case Information

rID: 44674
Case created: 1st May 2016
Last edited: 1st May 2016
Inclusion in quiz mode: Included

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