Presentation
Acute epigastric pain. Cholelithiasis seen on bedside USS, lipase 1100.
Patient Data
Age: 75 years
Gender: Female
From the case:
Pancreatic divisum
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Cholelithiasis with 5 mm calculus within the right hepatic duct. CBD caliber 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 optimization.
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