Kayastha Prakash, Pokhrel Biraj, Bhatta Uma, Pathak Roshan, Jha Goody, Paudel Sharma, Suwal Sundar, Regmi Dosti
Department of Radiology Tribhuwan University Teaching Hospital Kathmandu Nepal.
Department of Pathology Kanti Children's Hospital Kathmandu Nepal.
Clin Case Rep. 2023 Aug 15;11(8):e7798. doi: 10.1002/ccr3.7798. eCollection 2023 Aug.
Pancreas divisum (PD) can be one of the causes of unexplained chronic abdominal pain. In PD, the dominant duct drains the majority of the pancreas via the minor papilla, which can be conveyed in the imaging as crossing duct sign.
We report a case a of 16-year-old man who presented with unexplained chronic abdominal pain. Contrast-enhanced computed tomography and magnetic resonance cholangiopancreatography showed a bulky pancreas, but his pancreatic enzymes were normal. The crossing duct sign was prominent in imaging, which confirmed the diagnosis of PD.
胰腺分裂(PD)可能是不明原因慢性腹痛的病因之一。在胰腺分裂中,主胰管通过小乳头引流大部分胰腺,这在影像学上可表现为交叉胰管征。
我们报告一例16岁男性患者,其表现为不明原因的慢性腹痛。增强计算机断层扫描和磁共振胰胆管造影显示胰腺肿大,但他的胰腺酶正常。影像学上交叉胰管征明显,确诊为胰腺分裂。