Pancreas divisum in a young patient with chronic abdominal pain as per radiological findings: A case report

Prakash Kayastha; Biraj Pokhrel; Uma Bhatta; Roshan Pathak; Goody Jha; Sharma Paudel; Sundar Suwal; Dosti Regmi

doi:10.1002/ccr3.7798

Pancreas divisum in a young patient with chronic abdominal pain as per radiological findings: A case report

Clin Case Rep. 2023 Aug 15;11(8):e7798. doi: 10.1002/ccr3.7798. eCollection 2023 Aug.

Authors

Prakash Kayastha¹, Biraj Pokhrel¹, Uma Bhatta², Roshan Pathak¹, Goody Jha³, Sharma Paudel¹, Sundar Suwal¹, Dosti Regmi³

Affiliations

¹ Department of Radiology Tribhuwan University Teaching Hospital Kathmandu Nepal.
² Department of Pathology Kanti Children's Hospital Kathmandu Nepal.
³ Department of Radiology Kanti Children's Hospital Kathmandu Nepal.

Abstract

Key clinical message: Pancreas divisum (PD) can be one of the causes of unexplained chronic abdominal pain. In PD, the dominant duct drains the majority of the pancreas via the minor papilla, which can be conveyed in the imaging as crossing duct sign.

Abstract: We report a case a of 16-year-old man who presented with unexplained chronic abdominal pain. Contrast-enhanced computed tomography and magnetic resonance cholangiopancreatography showed a bulky pancreas, but his pancreatic enzymes were normal. The crossing duct sign was prominent in imaging, which confirmed the diagnosis of PD.

Keywords: chronic abdominal pain; crossing duct sign; pancreas divisum; pancreatitis.

Publication types

Case Reports