A case of santorinicele without pancreas divisum: diagnosis with multi-detector row computed tomography |
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Authors: | Nam Ki Deok Joo Kwang Ro Jang Jae Young Kim Nam Hoon Lee Sang Kil Dong Seok Ho Kim Hyo Jong Kim Byung Ho Chang Young Woon Lee Joung Il Chang Rin |
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Institution: | Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea. |
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Abstract: | 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 hematochezia, subsequently proven to be the result of an ischemic colitis. The santorinicele was diagnosed incidentally with multi-detector row computed tomography using a minimum intensity projection technique, which clearly showed a cystic dilatation of the terminal portion of the dorsal pancreatic duct and a communication between the ventral and dorsal pancreatic ducts. This finding was also confirmed by a magnetic resonance cholangiopancreatography. |
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Keywords: | Pancreas Santorinicele Tomography Spiral Computed |
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