title: Pancreas divisum with early pancreatic cancer--presenting as chronic obstructive pancreatitis.
abstract: A 61-year-old man experienced four bouts of pancreatitis in 1 year. Detailed history taking and a series of examinations, including sonography, computed tomography scan, and endoscopic retrograde cholangiopancreatography (ERCP), revealed pancreas divisum on the first admission. He was treated conservatively. However, repeated ERCP on the fourth admission, 1 year later, showed a small filling defect in the tail of the pancreatic duct. A distal pancreatectomy was carried out. Pathological studies revealed a small papillary adenocarcinoma (1.5 x 1.0 x 0.5 cm) confined to the pancreatic duct grossly with minimal parenchymal invasion microscopically. He has been free from cancer and pancreatitis for 13 months since the operation.
authors.affiliation: Department of Medicine, National Cheng Kung University Hospital, Tainan, Taiwan, Republic of China.
authors.forename: T C
authors.initials: TC
authors.lastname: Liou
authors.forename: X Z
authors.initials: XZ
authors.lastname: Lin
authors.forename: T T
authors.initials: TT
authors.lastname: Chang
authors.forename: C Y
authors.initials: CY
authors.lastname: Lin
authors.forename: P W
authors.initials: PW
authors.lastname: Lin
authors.forename: Y T
authors.initials: YT
authors.lastname: Jin
authors.forename: C Y
authors.initials: CY
authors.lastname: Yu
mesh_terms: D000230:Adenocarcinoma / Q000150:complications*; D002908:Chronic Disease; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000002:abnormalities*; D010190:Pancreatic Neoplasms / Q000150:complications*; D010195:Pancreatitis / Q000209:etiology*