Santorinicele containing a pancreatic duct stone in a patient with incomplete pancreas divisum.
Santorinicele, a focal cystic dilatation of the distal duct of Santorini, has been suggested as a possible cause of the relative stenosis of the accessory papilla, is associated with complete pancreas divisum, which results in acute episodes of pancreatitis or pain. This report describes a case of a santorinicele, which was initially detected by upper gastrointestinal endoscopy as a polypoid mass, in a patient with recurrent abdominal pain. The mass was subsequently proved to be a santorinicele containing a pancreatic duct stone associated with incomplete pancreas divisum on endoscopic retrograde pancreatography. To the best of our knowledge this is believed to be the first description of a santorinicele associated with these characteristic findings.
Joo
Kwang Ro
KR
Department of Internal Medicine, Kyung Hee University Hospital, 1 Hoigi-dong, Dongdaemoon-gu, Seoul 130-702, Korea. krjoo@khc.ac.kr
Bang
Sung Jo
SJ
Shin
Jung Woo
JW
Kim
Do Ha
DH
Park
Neung Hwa
NH
D000328:Adult; D002137:Calculi / Q000175:diagnosis*; D004108:Dilatation, Pathologic; D006801:Humans; D008297:Male; D010179:Pancreas / Q000002:abnormalities*; D010182:Pancreatic Diseases / Q000175:diagnosis*; D010183:Pancreatic Ducts / Q000473:pathology*