Bilobular pancreas: another variant of the divided pancreas?

Background. Pancreas divisum is the most common anomaly of the pancreas. This anomaly has been known as a possible cause of recurrent pancreatitis. Case report. We performed computerized tomography (CT) of the abdomen in 5 children in whom a divided pancreas was confirmed using endoscopic cholangiop...

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Main Authors: Živanović Dragana, Perišić Vojislav N.
Format: Article
Language:English
Published: Military Health Department, Ministry of Defance, Serbia 2006-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2006/0042-84500610902Z.pdf
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spelling doaj-7a1f23cfce044848ad76f5b3efad2ce52020-11-24T21:34:19ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502006-01-01631090290410.2298/VSP0610902ZBilobular pancreas: another variant of the divided pancreas?Živanović DraganaPerišić Vojislav N.Background. Pancreas divisum is the most common anomaly of the pancreas. This anomaly has been known as a possible cause of recurrent pancreatitis. Case report. We performed computerized tomography (CT) of the abdomen in 5 children in whom a divided pancreas was confirmed using endoscopic cholangiopancreatography. In a girl, who had three episodes of severe acute pancreatitis, a CT examination confirmed a completely divided embryonal dorsal and ventral primordium. We named this variant of the divided pancreas the "bilobular pancreas". Contrary to the remaining 4 children in whom the control of the number and severity of attacks, as well as the control of pancreatic pain were achieved by pharmacotherapeutics and an adequate diet, in the reported patient sphincteroplasty of the papilla duodeni minor resulted in a full control of the disease. Conclusion. The paper discussed the possibility that the variant of the divided pancreas, with anatomically completely separated ventral and dorsal pancreas and their ductal systems, is the key factor that determines the severity of pancreatic disease and an indication for sphincteroplasty of the papilla duodeni minor as the major therapeutic method.http://www.doiserbia.nb.rs/img/doi/0042-8450/2006/0042-84500610902Z.pdfpancreasabnormalitiespancreatitisdiagnosistreatment outcomechild
collection DOAJ
language English
format Article
sources DOAJ
author Živanović Dragana
Perišić Vojislav N.
spellingShingle Živanović Dragana
Perišić Vojislav N.
Bilobular pancreas: another variant of the divided pancreas?
Vojnosanitetski Pregled
pancreas
abnormalities
pancreatitis
diagnosis
treatment outcome
child
author_facet Živanović Dragana
Perišić Vojislav N.
author_sort Živanović Dragana
title Bilobular pancreas: another variant of the divided pancreas?
title_short Bilobular pancreas: another variant of the divided pancreas?
title_full Bilobular pancreas: another variant of the divided pancreas?
title_fullStr Bilobular pancreas: another variant of the divided pancreas?
title_full_unstemmed Bilobular pancreas: another variant of the divided pancreas?
title_sort bilobular pancreas: another variant of the divided pancreas?
publisher Military Health Department, Ministry of Defance, Serbia
series Vojnosanitetski Pregled
issn 0042-8450
publishDate 2006-01-01
description Background. Pancreas divisum is the most common anomaly of the pancreas. This anomaly has been known as a possible cause of recurrent pancreatitis. Case report. We performed computerized tomography (CT) of the abdomen in 5 children in whom a divided pancreas was confirmed using endoscopic cholangiopancreatography. In a girl, who had three episodes of severe acute pancreatitis, a CT examination confirmed a completely divided embryonal dorsal and ventral primordium. We named this variant of the divided pancreas the "bilobular pancreas". Contrary to the remaining 4 children in whom the control of the number and severity of attacks, as well as the control of pancreatic pain were achieved by pharmacotherapeutics and an adequate diet, in the reported patient sphincteroplasty of the papilla duodeni minor resulted in a full control of the disease. Conclusion. The paper discussed the possibility that the variant of the divided pancreas, with anatomically completely separated ventral and dorsal pancreas and their ductal systems, is the key factor that determines the severity of pancreatic disease and an indication for sphincteroplasty of the papilla duodeni minor as the major therapeutic method.
topic pancreas
abnormalities
pancreatitis
diagnosis
treatment outcome
child
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2006/0042-84500610902Z.pdf
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