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Case Reports
. 2003 Mar 14:3:4.
doi: 10.1186/1471-230x-3-4. Epub 2003 Mar 14.

The course of traumatic pancreatitis in a patient with pancreas divisum: a case report

Evangelia G Chryssou  1 , Panos Prassopoulos, John Mouzas, Thomas G Maris, Nicholas Gourtsoyiannis
Affiliations
Case Reports

The course of traumatic pancreatitis in a patient with pancreas divisum: a case report

Evangelia G Chryssou et al. BMC Gastroenterol. .

Abstract

Background: The peculiar anatomy of pancreatic ducts in pancreas divisum (PD) may interfere with the development of acute chronic pancreatitis. In the presented case, PD influenced the evolution of lesions after pancreatic trauma.

Case presentation: A 38 years old patient refferred to our hospital with recurrent episodes of mild pancreatitis during the last two years. The first episode occurred four months after blunt abdominal trauma. Endoscopic Retrograde Cholangiopancreatography, Magnetic Resonance Imaging of upper abdomen and Magnetic Resonance Cholangiopancreatography disclosed pancreas divisum, changes consistent with chronic pancreatitis in the dorsal pancreatic duct, atrophy in the body and tail of the pancreas and a pseudocyst in the pancreatic head, that was drained endoscopically.

Conclusion: Pancreas Divisum may interfere with the evolution of posttraumatic changes in the pancreas after blunt abdominal trauma.

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Figures

Figure 1
Figure 1
Title: ERCP Cannulation of the major papilla and injection of contrast medium results in opacification of a short ventral pancreatic duct and its secondary branches. The dorsal pancreatic duct is not depicted and there is no apparent continuation of the ventral duct along the body and tail of the pancreas.
Figure 2
Figure 2
Title: Spoiled gradient echo fat suppressed T1-weighted sequence Axial section at the level of the pancreas, demonstrating significant atrophy of the pancreatic body and tail.
Figure 3
Figure 3
Title: T2-weighted spin echo, axial image. A sharply marginated round lesion 2,5 cm in diameter, with high signal intensity, consistent with a pseudocyst in the pancreatic head.
Figure 4
Figure 4
Title: Projectional single shot turbo spin echo MRCP A dilated and tortuous pancreatic duct with associated beading of side branches in the body and tail of the pancreas is depicted, along with a short stricture of the duct in the pancreatic neck. The normal appearing common bile duct and the main pancreatic duct were shown ending at different parts of the duodenum after crossing over each other at the head of the pancreas. A cyst is demonstrated in the way of the dorsal pancreatic duct.
See this image and copyright information in PMC

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