A CASE OF PANCERAS DIVISUM WHICH WAS DISCOVERED AS LDA OF PANCREAS HEAD AND PERFORMED VENTRAL PANCREATECTOMY

Abstract

A case of pancreas divisum which was discovered as LDA of the pancreas head and performed ventral pancreatectomy was reported. A 74-year-old woman, was admitted to the hospital because of epigastric pain. She had been treated for diabetes mellitus for 25 years with a good control. After admission, a abdominal ultrasonography revealed LDA of the pancreas head. ERCP revealed that the pancreatic duct was interrupted in site of 5 cm apart from the Vater papilla orifice. Computed tomography revealed only dilatation of the main pancreatic duct. From these findings, pancreas divisum and SOL of the ventral pancreas were diagnosed.
Ventral pancreatectomy was performed under the diagnosis of tumor of the pancreas head associated with pancreas divisum. Histological diagnosis was hyalinization and calcification of Langhans' cells. Therefore, it was presumed that the degeneration of Langhans' cells was visualized as LDA of the pancreas head on echography.