Abstract
Pancreas divisum is an embryological anomaly of the pancreas that is characterized by a lack of fusion of the dorsal and ventral pancreatic ducts. Following case represents an unusual variant of pancreatic ductal anatomy in a child with pancreas divisum. In the presented case, dorsal pancreatic duct is the main pancretic duct while ventral duct is seen as an accesory duct join the dorsal duct. Major papilla is continued with the only common bile duct. She is also complicated with dorsal duct pancreaticolithiasis which is an uncommon complication of pancreas divisum. She failed multiple attempts at endoscopic minor papilla sphincterotomy and refered for surgical exploration. She underwent extended longitudinal pancreaticojejunostomy (Frey's Operation) and remains symptom-free after one year.
References
- 1.Quest L, Lombard M. Pancreas divisum: opinio divisa. Gut 2000;47:317-319 2.Adzick NS, Shamberger RC, Winter HS, Handan WH () Surgical treatment of pancreas divisum causing pancreatitis. J Pediatr Surg 1989; 24:54-58 3.Warshaw AL, Simeone JF, Schapiro RH, Flavin-War shaw B
- Evaluation and treatment of the dominant dorsal duct syndrome (pancreas divisium redefined). Am J Surg 1990;159:59-66 4.James A O'Neill, Jr. Marc I. Rowejay L. Grosfeld, Eric W.Fonkalsrud. (1998) Pediatric Surgery. Mosby Year Book, Missouri, USA 5.Sanada Y, Yoshizawa Y, Chiba M, Nemoto H, Midorikawa T, Kumada K Ventral pancreatitis in a patient with pancreas divisum. J Pediatr Surg
- 1995;30:665-7 6.Vogt W. Pancreaticolithiasis and pancreatic pseudocysts—interventional therapy. Schweiz Rundsch Med Prax. 1998; 87:1558-62 7.Iannitti DA, Heniford BT, Walsh RM. Ventral duct pancreaticolithiasis in pancreas divisum Am Surg. 1998;1030-2 8.Frey CF, Suzuki M, Isaji S. Treatment of chronic pancreatitis complicated by obstruction of the common bile duct or duodenum. World J Surg
- 1990;14:59-69
Abstract
Pankreas divizyum dorsal ve ventral pankreatik kanalların birleşmemesi sonucu ortaya çıkan pankreasın embriyolojik bir anomalisidir. Çalışmada çok nadir görülen pankreatik kanal anomalisi olan çocuk olgu sunulmuştur. Sunulan olguda dorsal pankreatik kanal ana kanal olup, ventral kanal ikincil kanal olarak dorsal kanalla birleşmektedir. Ana papilla sadece koledok ile devam etmektedir. Kız olgu pankreas divizyununun nadir bir komplikasyonu olan pankreas taşları ile de komplike olmuştur. Olgu birden fazla denenen minör papilla sfinkterotomisine cevap vermemiş ve bu nedenle de açık cerrahi tedavi planlanmıştır. Olguya genişletilmiş uzunlamasına pankreatikojejunostomi (Frey operasyonu) uygulanmış ve cerrahi sonrası son bir yıldır olgunun hiçbir yakınması olmamıştır.
References
- 1.Quest L, Lombard M. Pancreas divisum: opinio divisa. Gut 2000;47:317-319 2.Adzick NS, Shamberger RC, Winter HS, Handan WH () Surgical treatment of pancreas divisum causing pancreatitis. J Pediatr Surg 1989; 24:54-58 3.Warshaw AL, Simeone JF, Schapiro RH, Flavin-War shaw B
- Evaluation and treatment of the dominant dorsal duct syndrome (pancreas divisium redefined). Am J Surg 1990;159:59-66 4.James A O'Neill, Jr. Marc I. Rowejay L. Grosfeld, Eric W.Fonkalsrud. (1998) Pediatric Surgery. Mosby Year Book, Missouri, USA 5.Sanada Y, Yoshizawa Y, Chiba M, Nemoto H, Midorikawa T, Kumada K Ventral pancreatitis in a patient with pancreas divisum. J Pediatr Surg
- 1995;30:665-7 6.Vogt W. Pancreaticolithiasis and pancreatic pseudocysts—interventional therapy. Schweiz Rundsch Med Prax. 1998; 87:1558-62 7.Iannitti DA, Heniford BT, Walsh RM. Ventral duct pancreaticolithiasis in pancreas divisum Am Surg. 1998;1030-2 8.Frey CF, Suzuki M, Isaji S. Treatment of chronic pancreatitis complicated by obstruction of the common bile duct or duodenum. World J Surg
- 1990;14:59-69
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Articles |
| Authors | |
| Publication Date | May 1, 2005 |
| Published in Issue | Year 2005 Volume: 36 Issue: 4 |