Case 31

  • Rita Joarder
  • Neil Crundwell
  • Matthew Gibson


A 50-year-old tee-total man presented with a short ­history of central abdominal pain. The abdomen was mildly tender but not peritonitic. The serum amylase was elevated. US showed no gallstones in the gallbladder and CT demonstrated pancreatic swelling, but no fluid collections or necrosis. A diagnosis of mild acute pancreatitis was made.


Pancreatic Duct Main Pancreatic Duct Serum Amylase Endoscopic Sphincterotomy Pancreas Divisum 


  1. 1.
    Cotton PB. (1980) Congential anomaly of pancreas divisum as cause of obstructive pain and pancreatitis. Gut 21:105-114PubMedCrossRefPubMedCentralGoogle Scholar
  2. 2.
    Delhaye M, Engleholm L, Cremer M. (1985) Pancreas divisum: congenital anatomical variant or anomaly? Contribution of endoscopic retrograde dorsal pancreatography. Gastroentorol 89 (5): 951-8Google Scholar
  3. 3.
    Carnes ML, Romagnuolo J, Cotton PB. (2008) Miss Rate of Pancreas Divisum by Magnetic Resonance Cholangio­pancreatography in Clinical Practice. Pancreas 37(2):151-153PubMedCrossRefGoogle Scholar
  4. 4.
    Bret PM, Reimhold C, Taourel P et al. (1996) Pancreas divisum: evaluation with MR cholangiopancreatography. Radiology 199:99-103.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  • Rita Joarder
    • 1
  • Neil Crundwell
    • 1
  • Matthew Gibson
    • 2
  1. 1.Conquest HospitalEast SussexUK
  2. 2.Royal Berkshire HospitalReadingUK

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