Pancreas divisum: Analysis and therapeutic alternatives with a case report
Introduction. Pancreas divisum is a relatively common pancreatic duct anatomic variant, firstly described in the 17th century. Case report. We reported a 2-year-old child admitted to the Pediatric Clinic with breathing difficulties and abdominal pains. Examination and X-ray image, showed a vast...
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| Format: | Article |
| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2013-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2013/0042-84501306615J.pdf |
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| author | Jokić Radoica Milošević Pavle Konstantinidis Georgios Vlaški Jovan Beserminji Miroslav |
| author_facet | Jokić Radoica Milošević Pavle Konstantinidis Georgios Vlaški Jovan Beserminji Miroslav |
| author_sort | Jokić Radoica |
| collection | DOAJ |
| description | Introduction. Pancreas divisum is a relatively common pancreatic duct anatomic variant, firstly described in the 17th century. Case report. We reported a 2-year-old child admitted to the Pediatric Clinic with breathing difficulties and abdominal pains. Examination and X-ray image, showed a vast right hydrothorax containing rusty coloured solution with a high degree of amylase. Ultrasound and computed tomography examination revealed pancreatic polycyclic pseudocysts; following magnetic resonance cholangiopancreatography (MRCP), the diagnosis of pancreas divisum was confirmed. The general condition of the patient worsened, requiring an urgent operation. External drainage of the perforated pancreatic pseudocyst was performed. Following external fistula maturation, a change from external to internal drainage was performed using Roux-en-Y fistulojejunostomy. A 3-year postoperative period was uneventful. Conclusion. Pancreas divisum cases are unique requiring clinical experience, rational approach, and complex multimodal management. MRCP is a valuable diagnostic method. Amongst therapeutic options, outer and internal drainage can be seen as reliable methods. Further investigations are absolutely required to determine practical and appropriate conclusions. |
| format | Article |
| id | doaj-art-fb5c9382a821493dadaaf58df1254c49 |
| institution | Kabale University |
| issn | 0042-8450 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-fb5c9382a821493dadaaf58df1254c492025-08-20T03:25:58ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502013-01-0170661561910.2298/VSP1306615JPancreas divisum: Analysis and therapeutic alternatives with a case reportJokić RadoicaMilošević PavleKonstantinidis GeorgiosVlaški JovanBeserminji MiroslavIntroduction. Pancreas divisum is a relatively common pancreatic duct anatomic variant, firstly described in the 17th century. Case report. We reported a 2-year-old child admitted to the Pediatric Clinic with breathing difficulties and abdominal pains. Examination and X-ray image, showed a vast right hydrothorax containing rusty coloured solution with a high degree of amylase. Ultrasound and computed tomography examination revealed pancreatic polycyclic pseudocysts; following magnetic resonance cholangiopancreatography (MRCP), the diagnosis of pancreas divisum was confirmed. The general condition of the patient worsened, requiring an urgent operation. External drainage of the perforated pancreatic pseudocyst was performed. Following external fistula maturation, a change from external to internal drainage was performed using Roux-en-Y fistulojejunostomy. A 3-year postoperative period was uneventful. Conclusion. Pancreas divisum cases are unique requiring clinical experience, rational approach, and complex multimodal management. MRCP is a valuable diagnostic method. Amongst therapeutic options, outer and internal drainage can be seen as reliable methods. Further investigations are absolutely required to determine practical and appropriate conclusions.http://www.doiserbia.nb.rs/img/doi/0042-8450/2013/0042-84501306615J.pdfpancreatic pseudocystdiagnosisdigestive system surgical procedurestreatment outcome |
| spellingShingle | Jokić Radoica Milošević Pavle Konstantinidis Georgios Vlaški Jovan Beserminji Miroslav Pancreas divisum: Analysis and therapeutic alternatives with a case report Vojnosanitetski Pregled pancreatic pseudocyst diagnosis digestive system surgical procedures treatment outcome |
| title | Pancreas divisum: Analysis and therapeutic alternatives with a case report |
| title_full | Pancreas divisum: Analysis and therapeutic alternatives with a case report |
| title_fullStr | Pancreas divisum: Analysis and therapeutic alternatives with a case report |
| title_full_unstemmed | Pancreas divisum: Analysis and therapeutic alternatives with a case report |
| title_short | Pancreas divisum: Analysis and therapeutic alternatives with a case report |
| title_sort | pancreas divisum analysis and therapeutic alternatives with a case report |
| topic | pancreatic pseudocyst diagnosis digestive system surgical procedures treatment outcome |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2013/0042-84501306615J.pdf |
| work_keys_str_mv | AT jokicradoica pancreasdivisumanalysisandtherapeuticalternativeswithacasereport AT milosevicpavle pancreasdivisumanalysisandtherapeuticalternativeswithacasereport AT konstantinidisgeorgios pancreasdivisumanalysisandtherapeuticalternativeswithacasereport AT vlaskijovan pancreasdivisumanalysisandtherapeuticalternativeswithacasereport AT beserminjimiroslav pancreasdivisumanalysisandtherapeuticalternativeswithacasereport |