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Pancreas divisum
Image of the Month Sanjiv Chopra, Section Editor
Question: For approximately 4 years, a 70year-old woman had chronic intermittent epigastric pain that became worse with eating and occasionally awoke her at night. Physical examination and laboratory data, including serum amylase, lipase, and liver function tests, were unremarkable. Chest radiograph revealed a left pleural effusion and computed tomography of the abdomen showed a slightly edematous pancreatic tail with an adjacent fluid collection. Endoscopic retrograde cholangiopancreatography with cannulation
and contrast injection of the minor papilla was performed (shown in the figure). What is the diagnosis? Look on page 1054 for the answer and more information on submitting your favorite image to Image of the Month. ROBERT LOPEZ–BENT, M.D. TODD H. BARON, M.D. ROBERT J. STANLEY, M.D. University of Alabama at Birmingham Birmingham, Alabama
©1997 by the American Gastroenterological Association 0016-5085/97/$3.00 Gastroenterology 1997;113:740
Question: For approximately 4 years, a 70year-old woman had chronic intermittent epigastric pain that became worse with eating and occasionally awoke her at night. Physical examination and laboratory data, including serum amylase, lipase, and liver function tests, were unremarkable. Chest radiograph revealed a left pleural effusion and computed tomography of the abdomen showed a slightly edematous pancreatic tail with an adjacent fluid collection. Endoscopic retrograde cholangiopancreatography with cannulation
and contrast injection of the minor papilla was performed (shown in the figure). What is the diagnosis? Look on page 1054 for the answer and more information on submitting your favorite image to Image of the Month. ROBERT LOPEZ–BENT, M.D. TODD H. BARON, M.D. ROBERT J. STANLEY, M.D. University of Alabama at Birmingham Birmingham, Alabama
©1997 by the American Gastroenterological Association 0016-5085/97/$3.00 Gastroenterology 1997;113:740