This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (8)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Surgery, Other  • Alert me on articles by topic  Social Bookmarking   What's this?

A. N. Dalvi, MS; C. S. Pramesh, MS, FRCS(Edin); G. S. Prasanna, MS; S. A. Rege, MB, BS; R. Khare, MB, BS; C. S. Ravikiran, MB, BS

Arch Surg. 1999;134:1150-1152.

The coexistence of incomplete pancreas divisum, an anomalous choledochopancreatic duct junction, and a choledochal cyst is an extremely rare condition, described in only 3 patients in the available medical literature. The symptoms may be similar to any of these 3 distinct pathological conditions. Magnetic resonance cholangiopancreatography or endoscopic retrograde cholangiopancreatography is usually required for diagnosis. Management of symptomatic pancreas divisum may be accomplished with open accessory duct sphincteroplasty or endoscopic papillotomy with or without stenting. Treatment of choledochal cyst is by complete excision of the cyst whenever possible, with hepaticodochoenterostomy being the treatment of choice. Here, we describe a patient with this complex disorder who was successfully managed with endoscopic minor duct papillotomy with accessory pancreatic duct stenting and resection of the choledochal cyst with hepaticodochojejunostomy.

From the Department of General Surgery and Gastroenterology Surgical Services, King Edward VII Memorial Hospital and Seth G. S. Medical College, Mumbai, India.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?