Santorinicele Associated with Pancreas Divisum.
- Author:
Sun Young KIM
1
;
Myung Hwan KIM
;
Ji Yeol YOON
;
Kyung Duk KIM
;
Young Whan CHO
;
Jin Won HUH
;
Hyung Suk JI
;
Hyun Kuk KIM
;
Sang Soo LEE
;
Dong Wan SEO
;
Sung Koo LEE
;
Young Il MIN
Author Information
1. Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. mhkim@www.amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Santorinicele;
Pancreas divisum
- MeSH:
Aged;
Cholecystitis, Acute;
Dilatation;
Duodenoscopy;
Female;
Humans;
Pancreas*;
Pancreatic Ducts;
Pancreatitis
- From:Korean Journal of Gastrointestinal Endoscopy
2002;24(4):245-249
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Santorinicele denotes a focal cystic dilatation of the terminal dorsal pancreatic duct at the minor papilla. Santorinicele results from a combination of obstruction and weakness of the distal dorsal ductal wall. This anomaly has been found in patients with pancreas divisum and recurrent acute pancreatitis. We recently experienced a typical case of santorinicele associated with pancreas divisum incidentally found in a 71-year-old woman presented with acute cholecystitis. At duodenoscopy, the minor papilla was plumped out and bulged into the duodenal lumen after contrast injection. Dorsal pancreatography showed a cystic dilatation at the terminal portion of the dorsal duct and upstream dilatation. In this patient, previous pancreatic-type pain and pancreatitis are thought to be related to this anomaly.