Skip to main content
PMC home page
Gut logoLink to Gut
. 1980 Feb;21(2):105–114. doi: 10.1136/gut.21.2.105

Congenital anomaly of pancreas divisum as cause of obstructive pain and pancreatitis.

P B Cotton
PMCID: PMC1419363  PMID: 7380331

Abstract

Pancreas divisum occurs when the embryological ventral and dorsal parts of the pancreas fail to fuse, so that pancreatic drainage is mainly through the accessory papilla. In 169 patients with primary biliary tract disease who underwent pancreatography incidental to endoscopic cholangiography, the incidence of pancreas divisum was 3.6%. Among 78 patients with unexplained recurrent pancreatitis, the incidence was 25.6%. The hypothesis that the duct anomaly can cause obstructive pain and pancreatitis is presented, and supported by a detailed analysis of 47 patients with the condition.

Full text

PDF
106

Images in this article

106Fig. 2
on p.106
107Fig. 3
on p.107
107Fig. 4
on p.107
108Fig. 5
on p.108
108Fig. 6
on p.108
110Fig. 7
on p.110
110Fig. 8
on p.110
111Fig. 9
on p.111

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BERMAN L. G., PRIOR J. T., ABRAMOW S. M., ZIEGLER D. D. A study of the pancreatic duct system in man by the use of vinyl acetate casts of postmortem preparations. Surg Gynecol Obstet. 1960 Apr;110:391–403. [PubMed] [Google Scholar]
  2. BIRNSTINGL M. A study of pancreatography. Br J Surg. 1959 Sep;47:128–139. doi: 10.1002/bjs.18004720203. [DOI] [PubMed] [Google Scholar]
  3. Belber J. P., Bill K. Fusion anomalies of the pancreatic ductal system differentiation from pathologic states. Radiology. 1977 Mar;122(3):637–642. doi: 10.1148/122.3.637. [DOI] [PubMed] [Google Scholar]
  4. Cotton P. B., Beales J. S. Endoscopic pancreatography in management of relapsing acute pancreatitis. Br Med J. 1974 Mar 30;1(5908):608–611. doi: 10.1136/bmj.1.5908.608. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Cotton P. B. ERCP. Gut. 1977 Apr;18(4):316–341. doi: 10.1136/gut.18.4.316. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. DAWSON W., LANGMAN J. An anatomical-radiological study on the pancreatic duct pattern in man. Anat Rec. 1961 Jan;139:59–68. doi: 10.1002/ar.1091390109. [DOI] [PubMed] [Google Scholar]
  7. Gregg J. A. Pancreas divisum: its association with pancreatitis. Am J Surg. 1977 Nov;134(5):539–543. doi: 10.1016/0002-9610(77)90429-9. [DOI] [PubMed] [Google Scholar]
  8. HAND B. H. An anatomical study of the choledochoduodenal area. Br J Surg. 1963 Mar;50:486–494. doi: 10.1002/bjs.18005022303. [DOI] [PubMed] [Google Scholar]
  9. Heiss F. W., Shea J. A. Association of pancreatitis and variant ductal anatomy: dominant drainage of the duct of Santorini. Am J Gastroenterol. 1978 Aug;70(2):158–162. [PubMed] [Google Scholar]
  10. KLEITSCH W. P. Anatomy of the pancreas; a study with special reference to the duct system. AMA Arch Surg. 1955 Dec;71(6):795–802. [PubMed] [Google Scholar]
  11. Kasugai T., Kuno N., Kobayashi S., Hattori K. Endoscopic pancreatocholangiography. I. The normal endoscopic pancreatocholangiogram. Gastroenterology. 1972 Aug;63(2):217–226. [PubMed] [Google Scholar]
  12. MILLBOURN E. Calibre and appearance of the pancreatic ducts and relevant clinical problems. A roentgenographic and anatomical study. Acta Chir Scand. 1960 Feb 29;118:286–303. [PubMed] [Google Scholar]
  13. Rösch W., Koch H., Schaffner O., Demling L. The clinical significance of the pancreas divisum. Gastrointest Endosc. 1976 May;22(4):206–207. doi: 10.1016/s0016-5107(76)73755-6. [DOI] [PubMed] [Google Scholar]
  14. Varley P. F., Rohrmann C. A., Jr, Silvis S. E., Vennes J. A. The normal endoscopic pancreatogram. Radiology. 1976 Feb;118(2):295–300. doi: 10.1148/118.2.295. [DOI] [PubMed] [Google Scholar]

Articles from Gut are provided here courtesy of BMJ Publishing Group

RESOURCES