Are you prepared for pancreas bifidum? A case report

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.

Keywords: Bifid pancreas; Fishtail pancreas; Pancreas anomaly; Pancreas bifidum.

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.