Raut Sarang S, Acharya Sourya, Kumar Sunil, Deolikar Vinit, Kothari Manjeet
General Medicine, Jawaharlal Nehru Medical College, Wardha, IND.
Cureus. 2024 Jan 26;16(1):e53022. doi: 10.7759/cureus.53022. eCollection 2024 Jan.
Pancreatic divisum, a rare developmental anomaly of the pancreas, is infrequently observed in young individuals and is a recognized cause of recurrent acute pancreatitis, ultimately progressing to chronic pancreatitis. Chronic alcoholism is a prevalent and significant etiological factor contributing to both recurrent acute pancreatitis and chronic pancreatitis. This case report details the presentation of a 28-year-old patient with a history of chronic alcoholism, exhibiting recurrent acute pancreatitis evolving into chronic pancreatitis. Diagnostic evaluation revealed the presence of pancreatic divisum with associated pancreatic intraductal calculi, a common trigger for pancreatitis. The patient underwent successful management through endoscopic retrograde cholangiopancreatography, pancreatic lithotripsy, and pigtail pancreatic stent placement. This case highlights the complex interplay between chronic alcoholism leading to recurrent acute pancreatitis and pancreatic divisum, a rare congenital anomaly, which is found later in this case, complicating the disease.
胰腺分裂是一种罕见的胰腺发育异常，在年轻人中很少见，是复发性急性胰腺炎的公认病因，最终会发展为慢性胰腺炎。慢性酒精中毒是导致复发性急性胰腺炎和慢性胰腺炎的常见且重要的病因。本病例报告详细介绍了一名有慢性酒精中毒病史的28岁患者，其表现为复发性急性胰腺炎演变为慢性胰腺炎。诊断评估发现存在胰腺分裂并伴有胰腺导管内结石，这是胰腺炎的常见诱因。患者通过内镜逆行胰胆管造影术、胰管碎石术和猪尾胰管支架置入术成功得到治疗。本病例突出了慢性酒精中毒导致复发性急性胰腺炎与胰腺分裂（一种罕见的先天性异常，在本病例中较晚发现）之间的复杂相互作用，使病情复杂化。
