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Santorinicele containing a pancreatic duct stone in a patient with incomplete pancreas divisum
Kwang Ro Joo1, Sung Jo Bang, Jung Woo Shin
1Department of Internal Medicine, Kyung Hee University Hospital, 1 Hoigi-dong, Dongdaemoon-gu, Seoul 130-702, Korea. krjoo@khc.ac.kr
Abstract:
Santorinicele, a focal cystic dilatation of the distal duct of Santorini, has been suggested as a possible cause of the relative stenosis of the accessory papilla, is associated with complete pancreas divisum, which results in acute episodes of pancreatitis or pain. This report describes a case of a santorinicele, which was initially detected by upper gastrointestinal endoscopy as a polypoid mass, in a patient with recurrent abdominal pain. The mass was subsequently proved to be a santorinicele containing a pancreatic duct stone associated with incomplete pancreas divisum on endoscopic retrograde pancreatography. To the best of our knowledge this is believed to be the first description of a santorinicele associated with these characteristic findings.
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