Korean J Med.  2007 May;72(5):546-550.

An anomalous union of the pancreaticobiliary duct that was treated by drainage of the accessory ampulla

• Hwang JH
• Lee SH
• Kwon HJ
• Choi HS
• Kim JM
• Jang SW
• Choi SH

Abstract

An anomalous union of the pancreaticobiliary duct is defined as a condition in which the junction between the common bile duct and the pancreatic duct is located outside the duodenal wall. Therefore, the sphincter of Oddi does not influence the junction; there is always communication between these ducts, and so pancreatic juice flows into the biliary tract through the communication, which may cause pancreaticobiliary diseases. Pancreas divisum is a congenital variant of the pancreatic ductal anatomy, and the mechanism is that the dorsal and ventral pancreatic buds fail to fuse during the gestation. We report here on a 21 year old woman who previously had suffered with recurrent pancreatitis, and an anomalous union of the pancreaticobiliary duct associated with the incomplete type of pancreas divisum was revealed by ERCP. She was treated with minor papilla sphincterotomy and stent insertion.

Keyword

Anomalous union of the pancreaticobiliary duct; Pancreas divisum; Endoscopic sphincterotomy; Stent insertion

MeSH Terms

Biliary Tract
Cholangiopancreatography, Endoscopic Retrograde
Common Bile Duct
Drainage*
Female
Humans
Pancreas
Pancreatic Ducts
Pancreatic Juice
Pancreatitis
Pregnancy
Sphincter of Oddi
Sphincterotomy, Endoscopic
Stents
Young Adult