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Updated: Jun 5, 2025

Modified Single-Loop Reconstruction for Pancreaticoduodenectomy
Published on: September 28, 2019
PANCREATODUODENECTOMY AS TREATMENT FOR RECURRENT ACUTE PANCREATITIS DUE TO PANCREAS DIVISUM
Elizeu Bruno Santos Silva1, Maiza Conceição da Silva1, Maria Clara Santos Araújo1
1From Universidade Federal do Maranhão, Hospital Universitário Presidente Dutra, Department of Gastrointestinal Surgery, Hepatopancreatobiliary and Liver Transplant Unit - São Luis (MA), Brazil.
Pancreas divisum, a ductal abnormality, can cause recurrent acute pancreatitis. Surgical pancreatoduodenectomy is a treatment option for severe, symptomatic cases unresponsive to endoscopic therapy.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Anatomical Pathology
Background:
- Pancreas divisum is a congenital anomaly where pancreaticobiliary duct fusion fails.
- This leads to drainage obstruction via the minor papilla, potentially causing pancreatic duct hypertension.
Observation:
- A 21-year-old male presented with recurrent acute pancreatitis over three years.
- Imaging confirmed pancreas divisum; endoscopic intervention failed.
- Histopathology revealed a neuroendocrine tumor alongside pancreatitis changes.
Findings:
- Pancreas divisum can manifest as recurrent acute pancreatitis.
- Pancreaticoduodenectomy was performed due to failed endoscopic treatment.
- A G1-type neuroendocrine tumor was incidentally discovered.
Implications:
- Pancreaticoduodenectomy is a viable surgical option for refractory symptomatic pancreas divisum.
- Highlights the importance of thorough histopathological examination in pancreatic surgery.
- Underscores the varied clinical presentations of pancreas divisum.
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