Pancreas divisum: a teenager with calculi in the duct of Santorini. Report of a case treated by double drainage procedure.
Since the age of sixteen, a teenager suffers from acute recurrent pancreatitis with a weight loss of 17 kg, without evident etiologic factor. At laparotomy the duct of Wirsung is absent; calculi are found in a grossly dilated duct of Santorini and the minor papilla is stenosed with periductal fibrosis and a large retention pseudocyst. Recurrent pancreatitis is cured by sphincteroplasty of the minor papilla and side-to-side pancreatico-jejunostomy. After a follow-up of 17 months the recurrent pancreatitis seems cured by sphincteroplasty of the minor papilla and side-to-side pancreatico-jejunostomy.
D000208:Acute Disease; D000293:Adolescent; D002137:Calculi / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D010183:Pancreatic Ducts / Q000002:abnormalities; D010192:Pancreatic Pseudocyst / Q000150:complications / Q000601:surgery; D010195:Pancreatitis / Q000209:etiology*; D012008:Recurrence