Pancreatic Divisum-MRCP

Pancreatic ductal anatomy can be subject to a number of variations. Pancreas divisum is the most common congenital pancreatic ductal anatomic variant, with abnormality results from failure of the dorsal and ventral pancreatic anlage to fuse during the sixth to eighth weeks of gestation. In most cases of pancreatic divisum, no communication exists between the dorsal and ventral pancreatic ducts.Dorsal pancreatic duct is dilated which indicates associated chronic pancreatitis.  This is 29 year old male with chronic pancreatitis.

Pancreatic Divisum-MRCP

MRCP FINDINGS:
Gallbladder is distended and there is no evidence of any filling defects within the lumen. Wall thickness is normal. There is no evidence of dilatation of the intrahepatic biliary radicles. Confluence of the right and left hepatic duct is patent. CBD is of normal caliber and no filling defect or calculus is seen within CBD. Dorsal pancreatic duct appears to open cranial to the opening of the CBD along with a small ventral pancreatic duct opening with the CBD in the region of major papilla. This may indicate a diagnosis of pancreatic divisum, further in view of history of recurrent pancreatitis. There is some beading in the pancreatic duct in pancreatic tail region. ERCP is suggested. Reported by Teleradiology Providers