Pancreas divisum: Analysis and therapeutic alternatives with a case report

Abstract

Pancreas divisum cases are unique requiring clinical experience, rational approach, and complex multimodal management. MRCP is a valuable diagnostic method. Amongst therapeutic options, outer and internal drainage can be seen as reliable methods. Further investigations are absolutely required to determine practical and appropriate conclusions.

Pancreatic pseudocyst, pancreatitis, and incomplete pancreas divisum in a child treated with endotherapy: a case report

“…17 Pancreatic pseudocyst, pancreatitis, and incomplete PD in children are rare in the English and Chinese literature, and to the best of our knowledge, only three well documented cases have been reported. [18][19][20] All of these documented cases were treated using Roux-en-Y fistulojejunostomy, so our case is the first report of a child with pancreatic pseudocyst, pancreatitis, and incomplete PD who was treated using endotherapy.…”

“…The occurrence of postoperative complications are high because of the loss of organ and tissue, so we suggest that Roux-en-Y fistulojejunostomy is not the optimal surgical choice for this kind of patient. 21,22 Jokic et al 19 reported that external drainage as a therapeutic method was successful in treating these patients, which caused us to hypothesize that a less invasive treatment such as endotherapy and external drainage can be considered for unique cases. On the basis of our experience with this case, MRCP may be the first choice for diagnosing PD and pancreatic pseudocyst, while ERCP and endotherapy can be reserved for uncertain cases and to treat symptomatic patients.…”

Pancreas divisum: a reemerging risk factor for pancreatic diseases

“…Later on in 1903, Eugene L. Opie (1873-1971) precisely described this anatomical variant and was the first to report that in post mortem examinations. PD is encountered in 10% of cases [4,5]. Still even though it is the most widely encountered anatomic variant, PD is mentioned only in approximately 14% of the anatomy plus embryology books and in 70% of the surgery plus pathology books [6].…”