We present a case of small pancreatic head cancer with pancreas divisum preoperatively diagnosed by pancreatic juice cytology. A 60-year-old woman was referred to our hospital for evaluation of a dilated main pancreatic duct (MPD). A small and poorly reproducible low-echoic lesion in the pancreas was suspected by ultrasonography (US) and endoscopic ultrasonography (EUS). Magnetic resonance chol...

OBJECTIVE To evaluate the complications, technical success, diagnostic evaluation and various endoscopic management options in patients with pancreas divisum. STUDY DESIGN Descriptive study. PLACE AND DURATION OF STUDY Endoscopy Suite, Surgical Unit 4, Civil Hospital, Karachi, from January 2007 to December 2013. METHODOLOGY All Endoscopic Retrograde Cholangio-pancreatography (ERCPs) proce...

This study discusses the application of microwave-based heating for the pretreatment of biomass material, with Pennisetum purpureum selected for pretreatment. The Taguchi method was used to plan optimization experiments for the pretreatment parameter levels, and to measure the dynamic responses. With a low number of experiments, this study analyzed and determined a parameter combination in whic...

Choledochal cysts are rare congenital malformations of the bile duct characterized by dilatations of the intrahepatic and/or extrahepatic portion of the biliary tree, they are associated to an anomalous arrangement of the pancreaticobiliary duct. Pancreas divisum results from a fusion failure of the pancreatic buds. The coexistence of pancreas divisum and choledochal cyst in adults has been rep...

A santorinicele is defined as a focal cystic dilatation of the terminal portion of the dorsal pancreatic duct at the minor papilla. Most cases reported previously were associated with pancreas divisum and a santorinicele without pancreas divisum is known to be rare. We recently experienced a typical case of a santorinicele without pancreas divisum in a 67-yr-old woman with abdominal pain and he...

INTRODUCTION Pancreas divisum is the most common congenital pancreatic anomaly; occurring in approximately 7.5% of the general population. It is recognized as a potential risk factor for recurrent acute pancreatitis, and possible chronic pancreatitis. Pancreas divisum results from the failure of fusion of the ventral and dorsal ductal system. The hypothesis of our study was that pancreas divisu...

Introdução: Pancreas Divisum é uma anomalia anatômica do ducto pancreático em que a maioria suco passa pela papila menor e minoria maior. Relato de caso: Paciente com 54 anos Pâncreas Divisumque obteve diagnóstico pâncreas divisum ocasionalmente durante investigação para elucidação enzimas hepáticas alteradas dispepsia. Discussão: entidade pouco abordada devido à falta sintomatologia na dos cas...

Endoscopic treatment of pancreatic ductal malformations causing recurrent acute pancreatitis, such as pancreas divisum or ansa pancreatica, is mainly based on the sphincterotomy of the minor papilla. However, the technical complexity of conventional endoscopic retrograde cholangiopancreatography (ERCP) is increased in patients presenting anatomical variants like these and it may be unsuccessful...