Open AccessCholedochocele with pancreas divisum: A rare co-occurrence diagnosed on magnetic resonance cholangiopancreatography
Author(s) -
Yashwant Patidar,
Nitesh Agarwal,
Shailesh Gupta,
Ankur Arora,
Amar Mukund,
S Rajesh
Publication year - 2013
Publication title -
world journal of radiology
Language(s) - English
Resource type - Journals
ISSN - 1949-8470
DOI - 10.4329/wjr.v5.i7.264
Subject(s) - pancreas divisum , medicine , magnetic resonance cholangiopancreatography , abnormality , pancreatitis , radiology , magnetic resonance imaging , abdominal pain , endoscopic retrograde cholangiopancreatography , pancreas , annular pancreas , gastroenterology , pancreatic duct , psychiatry
We report a case of a 42-year-old male with symptomatic choledochocele and incidental pancreas divisum diagnosed with magnetic resonance cholangiopan- creatography (MRCP). Small choledochocele is rare congenital malformation associated with non-specific symptoms and a delay in diagnosis. The coexistence of choledochocele and pancreas divisum is extremely rare with only two case reports published in literature. In both cases MRCP failed to diagnose any biliary or pancreatic abnormality. This case suggests that the patients with recurrent abdominal pain and pancreas divisum should not be presumed to be suffering from pancreatitis. Careful evaluated for additional anomalies in the biliary tree should be sought for refractory symptoms. MRCP is a useful one-stop-shop for diagnosing pancreatic and biliary ductal anomalies.