Pancreas divisum: Analysis and therapeutic alternatives with a case report

Pancreas divisum: Analysis and therapeutic alternatives with a case report

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Introduction.Pancreas divisum is a relatively common pancreatic duct anatomic variant, Bodysuit 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 Medical and Ambulatory supplies / Clinical Laboratory 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.