Ann Surg Treat Res.  2018 Jan;94(1):49-51. 10.4174/astr.2018.94.1.49.

Are you prepared for pancreas bifidum? A case report

Affiliations
  • 1Center for Liver Cancer, National Cancer Center, Goyang, Korea. spark@ncc.re.kr

Abstract

Pancreas divisum"”failure of fusion of the dorsal and ventral pancreatic ducts"”is relatively well known as the most common congenital anomaly of the pancreatic duct, of with an incidence approximately 10% of all embryos. And there is a rare anomaly similar to pancreas divisum in which doubled ducts are formed. This condition is a rare developmental anomaly called pancreas bifidum or bifid pancreas or fish tail pancreas. This report describes a patient with pancreas bifidum who had 2 separated ducts within the pancreas from tail to neck but did not have a separated parenchyma. We hope that this report helps pancreatic surgeons to have knowledge of pancreas bifidum and helps them to be prepared for this anatomical variant.

Keyword

Pancreas anomaly; Pancreas bifidum; Bifid pancreas; Fishtail pancreas

MeSH Terms

Embryonic Structures
Hope
Humans
Incidence
Neck
Pancreas*
Pancreatic Ducts
Surgeons
Tail

Figure

  • Fig. 1 There are 2 pancreatic ducts in remnant pancreas and the both ducts were opened from the pancreas tail.

  • Fig. 2 Due to a pseudoaneurysm of gastroduodenal artery, emergent stent graft (arrow) placement was performed.

  • Fig. 3 (A, B) CT and MRI scan show that there are 2 ducts (arrow) within the pancreas tail to body.


Reference

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2. Brodsky JT, Turnbull AD. Arterial hemorrhage after pancreatoduodenectomy. The ‘sentinel bleed’. Arch Surg. 1991; 126:1037–1040.
3. Dinter D, Lohr JM, Neff KW. Bifid tail of the pancreas: benign bifurcation anomaly. AJR Am J Roentgenol. 2007; 189:W251–W253.
Article
4. Vasiliadis K, Papavasiliou C, Lamprou N, Delivorias P, Papaioannou S, Karagiannidis A, et al. Double Duct to Mucosa Pancreaticojejunostomy for Bifid Pancreatic Duct following Pylorus Preserving Pancreaticoduodenectomy: A Case Report. Case Rep Med. 2012; 2012:657071.
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