Pancreatic foregut cystic malformation with a bifid pancreatic tail

Endo, Yuki; Wada, Mitsuru; Sasaki, Hideyuki; Fukuzawa, Taichi; Kaneko, Hironori; Ando, Ryo; Yamaki, Shohei; Okubo, Ryuji; Hashimoto, Minoru; Nakajima, Yasuyuki; Sato, Kimitoshi; Aoki, Hidekazu; Ota, Hideki; Takase, Kei; Nio, Masaki

doi:10.1016/j.epsc.2021.101963

Cited by 1 publication

(4 citation statements)

References 12 publications

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“…Bifid pancreas is an aberrant branching anomaly of the main pancreatic duct, showing a Y-shaped pancreatic tail (as seen on figure 2B) and, as a sole entity, is not associated with pancreatic diseases 4 5. The pancreas develops when a ventral and dorsal bud fuse between the fifth and seventh week of gestation 4 5. It is hypothesised that bifid pancreas results from a developmental malformation of dorsal bud, which could also explain duplication cyst as seen in our case 1 4 5.…”

Section: Discussionmentioning

confidence: 51%

“…The pancreas develops when a ventral and dorsal bud fuse between the fifth and seventh week of gestation 4 5. It is hypothesised that bifid pancreas results from a developmental malformation of dorsal bud, which could also explain duplication cyst as seen in our case 1 4 5. Retrospectively, it was possible to identify both and the lower pancreatic tail in continuity with the cyst and the normal ending upper pancreatic tail on ultrasound (figure 1C, D and F).…”

Section: Discussionmentioning

confidence: 57%

“…The fact that the patient had two pancreatic tails delayed the diagnosis since a normal pancreatic tail was seen in previous ultrasounds. Bifid pancreas is an aberrant branching anomaly of the main pancreatic duct, showing a Y-shaped pancreatic tail (as seen on figure 2B) and, as a sole entity, is not associated with pancreatic diseases 4 5. The pancreas develops when a ventral and dorsal bud fuse between the fifth and seventh week of gestation 4 5.…”

Section: Discussionmentioning

confidence: 99%

“…The pancreas is the rarest site for duplication cysts. Bifid pancreas by itself does not cause symptoms and is usually found when investigating other disease 3–5. Here, we present a case of a duplication cyst lined with gastric epithelium arising from one end of duplicated pancreatic tail in an infant, who presented with recurrent vomiting.…”

Section: Introductionmentioning

confidence: 87%

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Gastric duplication cyst of a bifid pancreas: cause of recurrent vomiting

Pina-Prata,

Rosa,

Fontes

et al. 2023

BMJ Case Rep

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An infant girl first presented with recurrent episodes of non-bilious vomiting, having had five hospitalisations over the following months because of dehydration. Laboratory data showed no inflammatory response, normal pancreatic amylase, but increased lipase levels (between 67 and 425 U/L). Several abdominal ultrasound studies suggested an intestinal duplication cyst on left hypochondrium and, later, a dilated and irregular pancreatic duct. CT showed a bifid tailed pancreas and a change in the cyst’s characteristics. A communication with the pancreatic duct was hypothesised, which was confirmed on MR cholangiopancreatography. On laparoscopic surgery, the cyst was confirmed to be at the end of the caudal side of the pancreatic bifid tail, having no communication with the stomach. Cystectomy with partial pancreatectomy was performed with pathological findings confirming a gastric duplication cyst originating from the pancreatic bifid tail. At latest follow-up, 4 months after surgery, she remains asymptomatic.

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Section: Discussionmentioning

confidence: 51%

Section: Discussionmentioning

confidence: 57%