Journal of Postgraduate Medicine, Education and Research

Register      Login

VOLUME 54 , ISSUE 2 ( April-June, 2020 ) > List of Articles

CASE REPORT

Successful Pancreatic Endotherapy after Demonstration of Anatomical Variation in Pancreatic Duct by Endoscopic Ultrasound Pancreatography

Keywords : Endosonography, Intravenous, Magnetic resonance cholangiopancreatography, Pancreas

Citation Information : Successful Pancreatic Endotherapy after Demonstration of Anatomical Variation in Pancreatic Duct by Endoscopic Ultrasound Pancreatography. J Postgrad Med Edu Res 2020; 54 (2):53-55.

DOI: 10.5005/jp-journals-10028-1355

License: CC BY-NC 4.0

Published Online: 30-07-2020

Copyright Statement:  Copyright © 2020; The Author(s).


Abstract

Aim: We aim to describe the role of accessory pancreatic duct in pancreatic endotherapy as well as role of endoscopic ultrasound (EUS) pancreatography in the demonstration of pancreatic duct anatomy. Case description: We describe a 25-year-old male, chronic alcoholic, who presented with recurrent upper abdominal pain and investigations revealed a diagnosis of chronic calcific pancreatitis. Endoscopic retrograde pancreatography (ERP) failed as a guide wire could not be negotiated deep into pancreatic duct. EUS-guided pancreatography revealed that contrast was entering duodenum through the minor papilla via the patent accessory duct. The contrast was clearly seen exiting into the duodenum through the minor papilla orifice and successful minor papilla endotherapy could be done. Conclusion: The patent accessory duct can provide a drainage route for endoscopic interventions via the minor papilla even in patients without pancreas divisum, and EUS pancreatography can help in delineating pancreatic duct anatomy in cases where ERP fails.


HTML PDF Share
  1. Prasanna LC, Rajagopal KV, Thomas HR, et al. Accessory pancreatic duct patterns and their clinical implications. J Clin Diagn Res 2015;9(3):AC05–AC07. DOI: 10.7860/JCDR/2015/11539. 5660.
  2. Kamisawa T, Takuma K, Tabata T, et al. Clinical implications of accessory pancreatic duct. World J Gastroenterol 2010;16(36): 4499–4503. DOI: 10.3748/wjg.v16.i36.4499.
  3. Song MH, Kim M-H, Lee SK, et al. Endoscopic minor papilla interventions in patients without pancreas divisum. Gastrointest Endosc 2004;59(7):901–905. DOI: 10.1016/s0016-5107(04)00457-2.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.