Presentation
Abdominal pain; history of recurrent pancreatitis
Patient Data
Variant pancreatic ductal anatomy is seen with dilated duct of Wirsung joining the CBD and draining ventral pancreas at the major papilla.
Main pancreatic duct is dilated with dilatation of side branches. It is possibly draining into the minor papilla via a thin channel representing the duct of Santorini.
Communication is seen between the dilated main pancreatic duct and duct of Wirsung.
No obvious calcifications/calclui seen within the main pancreatic duct.
Atrophy of pancreatic parenchyma is seen with hypointense areas in the head region, possibly representing calcifications.
Type IIIA variant of hepatic ducts is seen with right posterior sectoral duct draining into left hepatic duct.
CBD is mildly prominent with no obvious filling defect.
Gall bladder appears normal.
Calcifications are seen in the main pancreatic duct in body and tail regions.
Case Discussion
Overall above findings are suggestive of incomplete pancreas divisum and is the likely cause of chronic pancreatitis in this patient.
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