title: Ansa pancreatica type of ductal anatomy in a patient with idiopathic acute pancreatitis.
abstract: 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.
authors: Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India. deepakkbhasin@gmail.com
authors: Deepak K
authors: DK
authors: Bhasin
authors: Surinder S
authors: SS
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authors: Mohit
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