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| {{CMG}}; {{AE}} [[User:zorkun|Cafer Zorkun]] M.D., PhD. | | {{CMG}}; {{AE}} [[User:zorkun|Cafer Zorkun]] M.D., PhD. |
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| ==Overview==
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| Pancreatic divisum is a congenital anomaly in the [[anatomy]] of the ducts of the [[pancreas]] in which a single [[pancreatic duct]] is not formed, but rather remains as two distinct dorsal and ventral ducts. <ref>Jorge A. Soto, Brian C. Lucey, and Joshua W. Stuhlfaut. [http://radiology.rsnajnls.org/cgi/content/abstract/235/2/503 Pancreas Divisum: Depiction with Multi–Detector Row CT.] Radiology 2005 235: 503-508.</ref> <ref>Yu, Jinxing, Turner, Mary Ann, Fulcher, Ann S., Halvorsen, Robert A. [http://www.ajronline.org/cgi/content/abstract/187/6/1544 Congenital Anomalies and Normal Variants of the Pancreaticobiliary Tract and the Pancreas in Adults: Part 2, Pancreatic Duct and Pancreas.] Am. J. Roentgenol. 2006 187: 1544-1553.</ref>
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| *Variant of the pancreatic ductal system and occurs in 4%–10% of the population.
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| *Dorsal and ventral anlagen of the pancreas fail to fuse.
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| **The dorsal duct drains most of the glandular parenchyma through the minor papilla
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| **The smaller ventral duct drains a portion of the pancreatic head, including the uncinate process, through the major papilla.
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| *Clinical relevance of pancreas divisum remains controversial.
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| **Most patients with pancreas divisum are asymptomatic.
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| **In some patients, this anomaly is associated with recurrent episodes of [[pancreatitis]].
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| **Postulated that in pancreas divisum, the duct of Santorini and the minor ampulla are too small to adequately drain the secretions produced by the pancreatic body and tail.
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| ==Symptoms==
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| ==Diagnosis==
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| The most common and accurate way of diagnosing an individual with this anomaly is by an [[ERCP]]. This test can demonstrate the presence of two separately draining ducts within the pancreas. Other tests can assist doctors with diagnosis, such as a [[CT scan]] and an [[MRI]].
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| ==Treatment==
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| ==References==
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| {{reflist|2}}
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| ==Related Chapters== | | ==Related Chapters== |