DOI: 10.1097/01.MPA.0000357055.17546.77
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Issn Print: 0885-3177
Publication Date: 2009/07/01
Isolated Ventral Pancreatitis Based on Incomplete Pancreas Divisum: A Case Report
Yuji Ota; Masataka Kikuyama; Yuzo Sasada; Toru Matsuhashi; Jun Nakahodo; Suguru Takase; Kouichi Suda
Excerpt
A 39-year-old man was admitted for epigastralgia. He had drunk a few bottles of beer almost every day. ERCP performed 2 years before had revealed pancreatic duct malfusion without any other findings. On admission, CT depicted an enhanced mass lesion in the pancreas head. On ERCP, the ventral pancreatic duct was heavily dilated at the pancreas head with filling defects. Pancreatoduodenectomy was performed. Histopathological examination showed chronic pancreatitis with a nodular pancreatitis pattern with protein plaques, observed only at the ventral pancreatic duct area. We suspected that the lesion was induced by alcohol and based on an incomplete panceas divisum.