Delayed diagnosis of chronic pancreatitis with cystic fibrosis and pancreas divisium

The incidence of pancreatitis in children and adolescents has increased in recent years. The etiology of pancreatitis is more diverse in children compared to adults. Pancreatitis may present as acute pancreatitis, recurrent acute pancreatitis or chronic relapsing pancreatitis. The majority of children with chronic pancreatitis had identifiable genetic risk factors associated with pancreatitis or congenital anomalies of the pancreaticobiliary system. Pancreatitis is a known complication of cystic fibrosis (CF) and may be the first manifestation of the disease in some cases. We report a case of late-diagnosed CF presenting with chronic pancreatitis and pancreas divisum.