Korean J Med.  2003 Apr;64(4):468-472.

A case of an anomalous union of the pancreaticobiliary duct associated with incomplete pancreas divisum

Affiliations
  • 1Department of Internal Medicine, Pusan National University College of Medicine, Busan, Korea. sulsulpul@yahoo.co.kr

Abstract

There are many pancreatic ductal anomalies in which there are clinically significant anomalies associated with acute and chronic pancreatitis or pancreatic carcinoma. Many anomalies of pancreatic duct are diagnosed at clinical evaluation of causes of recurrent acute pancreatitis. ERCP is the gold standard method of diagnosis. Noninvasive method such as MRCP or EUS may also establish the diagnosis. There are many reports for the clinical significance and management of pancreas divisum and anomalous union of the pancreaticobiliary duct. There have been rare cases with the coexistence of a pancreas divisum and anomalous union of the pancreaticobiliary duct in the world and only one case in Korea. The case of a 33 year old man with epigastic pain and fever was recently experienced. It was diagnosed to be the coexistence of a pancreas divisum and anomalous union of the pancreaticobiliary duct by ERCP, PTC and MRCP. We report this case with review of the anomalies.

Keyword

Pancreas divisum; Anomalous union of pancreaticobiliary duct

MeSH Terms

Adult
Cholangiopancreatography, Endoscopic Retrograde
Diagnosis
Fever
Humans
Korea
Pancreas*
Pancreatic Ducts
Pancreatitis
Pancreatitis, Chronic
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