A Case Report of Incomplete Pancreas Divisum in Infant Associated with Chronic Pancreatitis and Stenosis of Pancreatic Duct

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  • 不完全型膵管癒合不全を伴った1乳児膵炎例

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A 7-month-old male infant was admitted to our hospital with vomiting and swelling in the right inguinal portion. Considering it to be incarcerated hernia, an emergency operation was performed. At the operation, comunicating hydrocele and a bloody ascites without incarcerated hernia were found. Echogram and CT scan were performed after the operation, and these examinations showed enlargement of the pancreatic body with cyst formation. The symtoms of pancreatitis were aggravated, and medical treatments were given. After recovery from the pancreatitis, endoscopic retrograde cholangio pancreatography and MRI were done, and these showed that the enlargement of pancreatic body was due to chronic pancreatitis, and that the main pancreatic duct was the duct of Santorini, which was connected to the duct of Wirsung. Stenosis in two places and irregularity of the duct were also noted in the pancreatic body, but the duct was not greatly dilated. These findings indicate that his symptoms are related to incomplete pancreas divisum. The patient may be the youngest infant so far seen with symptoms of pancreas divisum. His symptoms would be due to chronic pancreatitis with stenosis of the pancreatic duct rather than accessory papilla failure.

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