A case of pancreas divisum associated with pancreaticobiliary maljunction

Abstract

A 17-year-female was found to have hematuria at a medical examination at her school. She was admitted to our hospital because abdominal US and CT showed dilatation of common bile duct. The Wirsung duct was short and smooth in pancreaticography from the papilla of Vater, pancreaticography from an accessory papilla was done. This study clarified that the dorsal pancreatic duct had no connection with the vental pancreatic duct, and indicated that the pancreas divisum was associated with pancreaticobiliary maljunction. The extra hepatic bile duct resection was underwent without accessory papilloplasty. The coexistensce of both anomalies has rarely been reported. We conclude that careful attention should be paid to possible association of pancreas divisum in cases with pancreaticobiliary maljunction.