Ansa pancreatica type of ductal anatomy in a patient with idiopathic acute pancreatitis.
BACKGROUND
Ansa pancreatica is a type of pancreatic ductal variation. The exact clinical significance of this ductal variation is not clear.


METHODS
We report the case of a 21-year-old male with acute idiopathic severe pancreatitis and extensive parenchymal necrosis who later developed a large pancreatic abscess. Subsequently, transpapillary drainage of the pancreatic abscess was attempted and on endoscopic retrograde pancreatography, disruption in the mid-body of the pancreas and the ansa pancreatica type of ductal anatomy was noted. A 7 Fr nasopancreatic catheter was placed across the disruption. However, due to the development of a new abscess, surgical drainage was performed. The patient has since been asymptomatic over a one-year follow up period.


CONCLUSIONS
A pancreatic ductal variation such as ansa pancreatica may be a finding in severe acute pancreatitis; it is not clear if the presence of these two conditions is co-incidental or if ansa pancreatica causes acute pancreatitis. Further studies are needed to clarify these points.
Bhasin
Deepak K
DK
Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India. deepakkbhasin@gmail.com
Rana
Surinder S
SS
Nanda
Mohit
M
Gupta
Rajesh
R
Nagi
Birinder
B
Wig
Jai Dev
JD