Idiopathic recurrent acute pancreatitis in the context of pancreas divisum: A case report

Shahab Shayesteh, MD; Daniel Fadaei Fouladi, MD; Alejandra Blanco, MD; Elliot K. Fishman, MD; Satomi Kawamoto, MD

Radiology Case Reports (Nov 2020)

Idiopathic recurrent acute pancreatitis in the context of pancreas divisum: A case report

Shahab Shayesteh, MD,
Daniel Fadaei Fouladi, MD,
Alejandra Blanco, MD,
Elliot K. Fishman, MD,
Satomi Kawamoto, MD

Affiliations

Shahab Shayesteh, MD: The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, JHOC 3140B, 601 North Caroline St, Baltimore, MD 21287, USA
Daniel Fadaei Fouladi, MD: The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, JHOC 3140B, 601 North Caroline St, Baltimore, MD 21287, USA
Alejandra Blanco, MD: The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, JHOC 3140B, 601 North Caroline St, Baltimore, MD 21287, USA
Elliot K. Fishman, MD: The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, JHOC 3140B, 601 North Caroline St, Baltimore, MD 21287, USA
Satomi Kawamoto, MD: Corresponding author.; The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, JHOC 3140B, 601 North Caroline St, Baltimore, MD 21287, USA

Journal volume & issue: Vol. 15, no. 11
pp. 2255 – 2258

Abstract

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Recurrent acute pancreatitis is characterized by frequent episodes of inflammation in the pancreas. The most common causes are alcohol abuse and gallstones but approximately 30% of cases are defined as idiopathic because initial evaluation fails to detect the etiology. In these patients, extensive laboratory and imaging evaluations usually lead to the uncovering of an occult biliary duct stone or sphincter of Oddi dysfunction as the main reason for frequent pancreatitis. We report a 42-year-old female with a longstanding history of acute recurrent pancreatitis in the setting of pancreas divisum due to its rarity. We focus on appropriate investigations by application of specialized laboratory and radiological modalities because determining the etiology is a crucial step in patient management.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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