A Case of Santorinicele without Pancreas Divisum: Diagnosis with Multi-detector Row Computed Tomography.
10.3346/jkms.2006.21.2.358
- Author:
Ki Deok NAM
1
;
Kwang Ro JOO
;
Jae Young JANG
;
Nam Hoon KIM
;
Sang Kil LEE
;
Seok Ho DONG
;
Hyo Jong KIM
;
Byung Ho KIM
;
Young Woon CHANG
;
Joung Il LEE
;
Rin CHANG
Author Information
1. Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea. krjoo@khu.ac.kr
- Publication Type:Case Report
- Keywords:
Pancreas;
Santorinicele;
Tomography;
Spiral Computed
- MeSH:
Tomography, X-Ray Computed/methods;
Pancreatic Ducts/pathology/*radiography;
Pancreatic Cyst/pathology/radiography;
Pancreas/pathology/radiography;
Humans;
Female;
Dilatation, Pathologic;
Aged
- From:Journal of Korean Medical Science
2006;21(2):358-360
- CountryRepublic of Korea
- Language:English
-
Abstract:
A santorinicele is defined as a focal cystic dilatation of the terminal portion of the dorsal pancreatic duct at the minor papilla. Most cases reported previously were associated with pancreas divisum and a santorinicele without pancreas divisum is known to be rare. We recently experienced a typical case of a santorinicele without pancreas divisum in a 67-yr-old woman with abdominal pain and hematochezia, subsequently proven to be the result of an ischemic colitis. The santorinicele was diagnosed incidentally with multi-detector row computed tomography using a minimum intensity projection technique, which clearly showed a cystic dilatation of the terminal portion of the dorsal pancreatic duct and a communication between the ventral and dorsal pancreatic ducts. This finding was also confirmed by a magnetic resonance cholangiopancreatography.
