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Wirsungocele: evaluation by MRCP and clinical significance

Sehnaz Evrimler1,2, Jordan K Swensson1, Mazhar Soufi3

  • 1Department of Radiology and Imaging Sciences, Indiana University School of Medicine, 550 N University Blvd Room 0663, Indianapolis, IN, 46202, USA.

Abdominal Radiology (New York)
|August 2, 2020
PubMed
Abstract

Insights

Magnetic Resonance Cholangiopancreatography (MRCP) effectively detects Wirsungocele, a rare pancreatic duct dilatation. Larger Wirsungocele size correlates with main pancreatic duct dilatation and recurrent acute pancreatitis, aiding clinical management.

Area of Science:

  • Radiology
  • Gastroenterology
  • Medical Imaging

Background:

  • Wirsungocele is a rare cystic dilatation of the main pancreatic duct.
  • Accurate diagnosis and understanding its associations are crucial for patient management.

Purpose of the Study:

  • To evaluate the diagnostic value of MRCP in detecting Wirsungocele.
  • To assess the association between MRCP-determined Wirsungocele size and clinical findings of pancreatitis.

Main Methods:

  • Retrospective analysis of 34 patients with reported Wirsungocele.
  • Review of MRCP/S-MRCP images for Wirsungocele diameter and associated pancreatic duct changes.
  • Correlation of imaging findings with clinical data including pancreatitis history and symptoms.

Main Results:

  • MRCP demonstrated a sensitivity of 76.9% for Wirsungocele detection compared to ERCP.
  • Significant differences in Wirsungocele diameter were noted between MRCP and S-MRCP.
  • A positive correlation was found between Wirsungocele diameter, main pancreatic duct dilatation, and recurrent acute pancreatitis.

Conclusions:

  • MRCP is a sensitive, non-invasive tool for Wirsungocele detection.
  • Increased Wirsungocele diameter is linked to main pancreatic duct dilatation and recurrent acute pancreatitis.
Keywords:
Magnetic resonance imagingPancreatic ductPancreatitisWirsungocele

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