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CASE REPORT
Year : 2016  |  Volume : 1  |  Issue : 4  |  Page : 42-44

A case of pancreas divisum in childhood diagnosed and treated by endoscopic retrograde cholangiopancreatography


Department of Gastroenterology II, Mohamed V Teaching Military Hospital, Rabat, Morocco

Correspondence Address:
Hanane Basr
Department of Gastroenterology II, Mohamed V Teaching Military Hospital, Rabat
Morocco
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Source of Support: None, Conflict of Interest: None


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Pancreas divisum (PD) is the most common congenital anomaly of the pancreas. Its diagnosis is currently based on the magnetic resonance imaging (MRI). However endoscopic retrograde cholangiopancreatography (ERCP) remains the reference examination, especially in difficult cases;it has a diagnostic and therapeutic role. The treatment of PD is recommended only for symptomatic patients; it is endoscopic and /or surgical .The Response to treatment depends on the clinical present. We report a new case of PD in 13 years old child revealed by recurrent acute pancreatitis diagnosed by ERCP: the pancreaatography via minor papilla revealed a very dilated duct of Santoriny wich is following main pancreatic duct. Sphincterotomy of the minor papilla was performed with good clinical and biological response. Through this case of PD and review of the literature, the authors insist on diagnostic challenges and the role of ERCP in the diagnosis and treatment of PD.


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