We have located links that may give you full text access.
CASE REPORTS
JOURNAL ARTICLE
False pancreas divisum: not a difficult diagnosis.
Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology 1993 April
OBJECTIVE: To study the clinical and cholangiopancreatographic features in cases of false pancreas divisum.
METHODS: Six patients with pancreatic duct block to the right of the spine detected among 300 consecutive endoscopic retrograde cholangiopancreatograms (ERCP) done during April 1990 to March 1992 formed the basis of the study. The clinical and radiological features of these six cases of false pancreas divisum were analyzed.
OUTCOME MEASURES & RESULTS: The causes of false pancreas divisum were carcinoma of pancreas (3 patients), pancreatic trauma (2) and pancreatitis with infected pseudocyst (1). Three patients presented with obstructive jaundice and three with pain in the abdomen. On ERCP, the pancreatic duct length varied from 3.5 cm to 5.0 cm and the diameter ranged from 2.0-6.5 mm. Terminal arborization of pancreatic duct was absent in all cases. In both patients with pancreatic trauma there was displacement of the pancreatic duct towards the common bile duct. A branch to the uncinate process originating from the main pancreatic duct was seen in 4 patients and contrast spilling at the site of block was seen in two patients.
CONCLUSION: History of abdominal trauma; demonstration of space occupying lesion in the pancreas; displaced, dilated pancreatic duct which terminates without arborization with or without leakage of contrast; and presence of a branch to the uncinate process arising from the pancreatic duct on pancreatography strongly suggest a diagnosis of false pancreas divisum.
METHODS: Six patients with pancreatic duct block to the right of the spine detected among 300 consecutive endoscopic retrograde cholangiopancreatograms (ERCP) done during April 1990 to March 1992 formed the basis of the study. The clinical and radiological features of these six cases of false pancreas divisum were analyzed.
OUTCOME MEASURES & RESULTS: The causes of false pancreas divisum were carcinoma of pancreas (3 patients), pancreatic trauma (2) and pancreatitis with infected pseudocyst (1). Three patients presented with obstructive jaundice and three with pain in the abdomen. On ERCP, the pancreatic duct length varied from 3.5 cm to 5.0 cm and the diameter ranged from 2.0-6.5 mm. Terminal arborization of pancreatic duct was absent in all cases. In both patients with pancreatic trauma there was displacement of the pancreatic duct towards the common bile duct. A branch to the uncinate process originating from the main pancreatic duct was seen in 4 patients and contrast spilling at the site of block was seen in two patients.
CONCLUSION: History of abdominal trauma; demonstration of space occupying lesion in the pancreas; displaced, dilated pancreatic duct which terminates without arborization with or without leakage of contrast; and presence of a branch to the uncinate process arising from the pancreatic duct on pancreatography strongly suggest a diagnosis of false pancreas divisum.
Full text links
Related Resources
Trending Papers
Heart failure with preserved ejection fraction: diagnosis, risk assessment, and treatment.Clinical Research in Cardiology : Official Journal of the German Cardiac Society 2024 April 12
Proximal versus distal diuretics in congestive heart failure.Nephrology, Dialysis, Transplantation 2024 Februrary 30
World Health Organization and International Consensus Classification of eosinophilic disorders: 2024 update on diagnosis, risk stratification, and management.American Journal of Hematology 2024 March 30
Efficacy and safety of pharmacotherapy in chronic insomnia: A review of clinical guidelines and case reports.Mental Health Clinician 2023 October
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app