Complex Pancreaticobiliary Maljunction with Pancreas Divisum and Obstructive Pseudocyst

Area of Science:

• Gastroenterology and Hepatobiliary Surgery
• Congenital Anomalies
• Pancreaticobiliary Disorders

Background:

• Pancreaticobiliary maljunction (PBM) is a congenital condition where bile and pancreatic ducts join outside the duodenum.
• Complex Type D PBM, often associated with other anomalies, is rare and carries significant clinical implications.

Observation:

• A rare case of complex Type D PBM with pancreas divisum is presented.
• The patient exhibited acute pancreatitis and obstructive symptoms due to a pancreatic pseudocyst.

Findings:

• This case highlights the diagnostic and management challenges of complex PBM.
• The association with pancreas divisum and pseudocyst formation is noted.

Implications:

• Complex PBM requires careful surgical consideration due to a high risk of post-operative complications.
• Understanding these rare anomalies is vital for effective patient management and surgical planning.