A case of pancreas divisum accompanied with pancreaticobiliary maljunction

Abstract

A 35-year-old woman presented with upper abdominal pain. Dilatation of the common bile duct was detected on abdominal ultasonogaphy. Endoscopic retrograde cholangiopancreatography revealed that the vental duct was short and had no connection with the dorsal pancreatic duct.
On the basis of these findings, the patient was given a diagnosis of pancreas divisum accompanied with pancreaticobiliary maljunction.
Resection of the gall bladder and the extra-hepatic bile duct was performed We did not treat panceas divisum because she had no pancreatitis and dilatation of the main pancreatic duct. The post-operative course was uneventful.
There have been only six reports of these anomalies occurring together, Surgery for pancreaticobiliary maljunction or congenital bile duct dilatation were performed in these reported cases and their post-operative course was fair.
Further accumulation of the cases and long observation must be necessary.