Korean J Gastroenterol.  2016 May;67(5):282-285. 10.4166/kjg.2016.67.5.282.

Incomplete Pancreas Divisum Presented with Acute Exacerbation of Chronic Pancreatitis in a Young Female

Affiliations
  • 1Division of Gastroenterology, Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea. jhcho9328@gmail.com

Abstract

No abstract available.


MeSH Terms

Female*
Humans
Pancreas*
Pancreatitis, Chronic*

Figure

  • Fig. 1. Abdominopelvic CT images at the initial presentation. (A) CT image showing dilated pancreatic duct (PD) at the head portion of pancreas with atrophic parenchyme and peripancreatic inflammatory change. (B) CT image showing dilated PD at the body and tail portion of pancreas.

  • Fig. 2. Endoscopic ultrasonography. (A) No abnormal finding at common bile duct. (B) Dilated pancreatic duct (6 mm) with sludge.

  • Fig. 3. ERCP images. (A) Pancreatogram showing dilated pancreatic duct (6 mm) with multiple large amounts of sludge. (B) Endoscopic image showing retracted pancreatic sludge via minor papilla with endoscopic basket after endoscopic sphincterotomy. (C) Post ERCP fluoroscopic image showing an endoscopic retrograde bile duct drainage stent and an endoscopic retrograde pancreatic duct drainage stent.

  • Fig. 4. Follow-up (ERCP). (A) Cholan-giopapncreatography showing dorsal pancreatic duct crossing over the common bile duct. (B) Pancreatogram showing dorsal pancreatic duct communicating with main pancreatic duct and ventral pancreatic duct.


Reference

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