1986 Volume 28 Issue 7 Pages 1590-1594_1
The patient is 66 year-old man. He admitted to our division in this hospital with a complaint of jaundice. ERCP showed a normal ventral pancreatogram of 5 cm length and a cholangiogram with stenosis of the middle and inferior portion. Thus, pancreas divisum was suspected and cannulation was carried out into the minor papilla by tapered catheter. The findings of dorsal pancreatogram were irregular stenosis from head to body portion and chain-of-lakes appearance of the tail side. The diagnosis of dorsal pancreatic cancer with pancreas divisum was made and operation revealed pancreas head cancer (stage 4). Histological examination from metastatic lesion, revealed moderatery or poorly differentiated adenocarcinoma.
