A case of santorinicele without pancreas divisum: diagnosis with multi-detector row computed tomography.
A santorinicele is defined as a focal cystic dilatation of the terminal portion of the dorsal pancreatic duct at the minor papilla. Most cases reported previously were associated with pancreas divisum and a santorinicele without pancreas divisum is known to be rare. We recently experienced a typical case of a santorinicele without pancreas divisum in a 67-yr-old woman with abdominal pain and hematochezia, subsequently proven to be the result of an ischemic colitis. The santorinicele was diagnosed incidentally with multi-detector row computed tomography using a minimum intensity projection technique, which clearly showed a cystic dilatation of the terminal portion of the dorsal pancreatic duct and a communication between the ventral and dorsal pancreatic ducts. This finding was also confirmed by a magnetic resonance cholangiopancreatography.
Nam
Ki Deok
KD
Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea.
Joo
Kwang Ro
KR
Jang
Jae Young
JY
Kim
Nam Hoon
NH
Lee
Sang Kil
SK
Dong
Seok Ho
SH
Kim
Hyo Jong
HJ
Kim
Byung Ho
BH
Chang
Young Woon
YW
Lee
Joung Il
JI
Chang
Rin
R
D000368:Aged; D004108:Dilatation, Pathologic; D005260:Female; D006801:Humans; D010179:Pancreas / Q000000981:diagnostic imaging / Q000473:pathology; D010181:Pancreatic Cyst / Q000000981:diagnostic imaging / Q000473:pathology; D010183:Pancreatic Ducts / Q000000981:diagnostic imaging* / Q000473:pathology; D014057:Tomography, X-Ray Computed / Q000379:methods