Pancreas divisum

Definition

Pancreas divisum is a congenital (present from birth) defect in which parts of the pancreas to fail to fuse together.

Causes, incidence, and risk factors

In this condition, the ducts of the pancreas are affected. In many cases this defect goes undetected. The cause of the defect is unknown. However, if the pancreatic ducts become obstructed, symptoms similar to pancreatitis may develop. Pancreas divisum affects about 5% of the general population.

Symptoms

• Abdominal pain
• Nausea or vomiting
• Abdominal distention

Signs and tests

• An ERCP (endoscopic retrograde cholangiopancreatography)
• Elevated blood amylase and lipase
• Abdominal CT scan

Treatment

If a person has symptoms of this condition or has had recurrent pancreatitis, surgical bypass or reconstruction of the malformed pancreatic ducts may be indicated to relieve obstruction.

Expectations (prognosis)

The probable outcome is good with treatment.

Complications

The main complication of pancreas divisum is pancreatitis.

Calling your health care provider

Call for an appointment with your health care provider if symptoms of this disorder develop.

Prevention

Because this condition is present at birth, there is no known prevention.

Illustrations

Digestive system

Endocrine glands

Pancreas

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