Anatomic variant of pancreatic ductal anatomy resulting from failure of ventral and dorsal pancreatic buds to fuse
IMAGING
General Features
MR Findings
CT Findings
Radiographic Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Guerroum H et al: Ansa pancreatica: a rare cause of acute recurrent episode in chronic pancreatitis. BJR Case Rep. 7(1):20200044, 2021
Swensson J et al: Secretin-enhanced MRCP: how and why-AJR expert panel narrative review. AJR Am J Roentgenol. 1-11, 2021
Ferri V et al: Diagnosis and treatment of pancreas divisum: a literature review. Hepatobiliary Pancreat Dis Int. 18(4):332-6, 2019
Gutta A et al: Identification and management of pancreas divisum. Expert Rev Gastroenterol Hepatol. 13(11):1089-105, 2019
Kania L et al: Interpreting body MRI cases: classic findings in abdominal MRI. Abdom Radiol (NY). 43(10):2790-808, 2018
Adibelli ZH et al: Anatomic variations of the pancreatic duct and their relevance with the Cambridge classification system: MRCP findings of 1158 consecutive patients. Radiol Oncol. 50(4):370-7, 2016
Tirkes T et al: Secretin-enhanced MR cholangiopancreatography: spectrum of findings. Radiographics. 33(7):1889-906, 2013
Türkvatan A et al: Congenital variants and anomalies of the pancreas and pancreatic duct: imaging by magnetic resonance cholangiopancreaticography and multidetector computed tomography. Korean J Radiol. 14(6):905-13, 2013
Asayama Y et al: Detectability of pancreas divisum in patients with acute pancreatitis on multi-detector row computed tomography. Emerg Radiol. 19(2):121-5, 2012
Bertin C et al: Pancreas divisum is not a cause of pancreatitis by itself but acts as a partner of genetic mutations. Am J Gastroenterol. 107(2):311-7, 2012
Mosler P et al: Accuracy of magnetic resonance cholangiopancreatography in the diagnosis of pancreas divisum. Dig Dis Sci. 57(1):170-4, 2012
Pezzilli R: Pancreas divisum and acute or chronic pancreatitis. JOP. 13(1):118-9, 2012
Anderson SW et al: Pancreatic duct evaluation: accuracy of portal venous phase 64 MDCT. Abdom Imaging. 34(1):55-63, 2009
Soto JA et al: Pancreas divisum: depiction with multi-detector row CT. Radiology. 235(2):503-8, 2005
Khalid A et al: Secretin-stimulated magnetic resonance pancreaticogram to assess pancreatic duct outflow obstruction in evaluation of idiopathic acute recurrent pancreatitis: a pilot study. Dig Dis Sci. 48(8):1475-81, 2003
Mishra D et al: Pancreas divisum: an uncommon cause of acute pancreatitis. Indian J Pediatr. 70(7):593-5, 2003
Benya EC: Pancreas and biliary system: imaging of developmental anomalies and diseases unique to children. Radiol Clin North Am. 40(6):1355-62, 2002
Manfredi R et al: Idiopathic chronic pancreatitis in children: MR cholangiopancreatography after secretin administration. Radiology. 224(3):675-82, 2002
Masatsugu T et al: Serous cystadenoma of the pancreas associated with pancreas divisum. J Gastroenterol. 37(8):669-73, 2002
Vitellas KM et al: MR cholangiopancreatography of bile and pancreatic duct abnormalities with emphasis on the single-shot fast spin-echo technique. Radiographics. 20(4):939-57; quiz 1107-8, 1112, 2000
Fulcher AS et al: MR cholangiography: technical advances and clinical applications. Radiographics. 19(1):25-41; discussion 41-4, 1999
Morgan DE et al: Pancreas divisum: implications for diagnostic and therapeutic pancreatography. AJR Am J Roentgenol. 173(1):193-8, 1999
Bret PM et al: Pancreas divisum: evaluation with MR cholangiopancreatography. Radiology. 199(1):99-103, 1996
Rizzo RJ et al: Congenital abnormalities of the pancreas and biliary tree in adults. Radiographics. 15(1):49-68; quiz 147-8, 1995
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Clinical Issues
TERMINOLOGY
Definitions
Anatomic variant of pancreatic ductal anatomy resulting from failure of ventral and dorsal pancreatic buds to fuse
IMAGING
General Features
MR Findings
CT Findings
Radiographic Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Guerroum H et al: Ansa pancreatica: a rare cause of acute recurrent episode in chronic pancreatitis. BJR Case Rep. 7(1):20200044, 2021
Swensson J et al: Secretin-enhanced MRCP: how and why-AJR expert panel narrative review. AJR Am J Roentgenol. 1-11, 2021
Ferri V et al: Diagnosis and treatment of pancreas divisum: a literature review. Hepatobiliary Pancreat Dis Int. 18(4):332-6, 2019
Gutta A et al: Identification and management of pancreas divisum. Expert Rev Gastroenterol Hepatol. 13(11):1089-105, 2019
Kania L et al: Interpreting body MRI cases: classic findings in abdominal MRI. Abdom Radiol (NY). 43(10):2790-808, 2018
Adibelli ZH et al: Anatomic variations of the pancreatic duct and their relevance with the Cambridge classification system: MRCP findings of 1158 consecutive patients. Radiol Oncol. 50(4):370-7, 2016
Tirkes T et al: Secretin-enhanced MR cholangiopancreatography: spectrum of findings. Radiographics. 33(7):1889-906, 2013
Türkvatan A et al: Congenital variants and anomalies of the pancreas and pancreatic duct: imaging by magnetic resonance cholangiopancreaticography and multidetector computed tomography. Korean J Radiol. 14(6):905-13, 2013
Asayama Y et al: Detectability of pancreas divisum in patients with acute pancreatitis on multi-detector row computed tomography. Emerg Radiol. 19(2):121-5, 2012
Bertin C et al: Pancreas divisum is not a cause of pancreatitis by itself but acts as a partner of genetic mutations. Am J Gastroenterol. 107(2):311-7, 2012
Mosler P et al: Accuracy of magnetic resonance cholangiopancreatography in the diagnosis of pancreas divisum. Dig Dis Sci. 57(1):170-4, 2012
Pezzilli R: Pancreas divisum and acute or chronic pancreatitis. JOP. 13(1):118-9, 2012
Anderson SW et al: Pancreatic duct evaluation: accuracy of portal venous phase 64 MDCT. Abdom Imaging. 34(1):55-63, 2009
Soto JA et al: Pancreas divisum: depiction with multi-detector row CT. Radiology. 235(2):503-8, 2005
Khalid A et al: Secretin-stimulated magnetic resonance pancreaticogram to assess pancreatic duct outflow obstruction in evaluation of idiopathic acute recurrent pancreatitis: a pilot study. Dig Dis Sci. 48(8):1475-81, 2003
Mishra D et al: Pancreas divisum: an uncommon cause of acute pancreatitis. Indian J Pediatr. 70(7):593-5, 2003
Benya EC: Pancreas and biliary system: imaging of developmental anomalies and diseases unique to children. Radiol Clin North Am. 40(6):1355-62, 2002
Manfredi R et al: Idiopathic chronic pancreatitis in children: MR cholangiopancreatography after secretin administration. Radiology. 224(3):675-82, 2002
Masatsugu T et al: Serous cystadenoma of the pancreas associated with pancreas divisum. J Gastroenterol. 37(8):669-73, 2002
Vitellas KM et al: MR cholangiopancreatography of bile and pancreatic duct abnormalities with emphasis on the single-shot fast spin-echo technique. Radiographics. 20(4):939-57; quiz 1107-8, 1112, 2000
Fulcher AS et al: MR cholangiography: technical advances and clinical applications. Radiographics. 19(1):25-41; discussion 41-4, 1999
Morgan DE et al: Pancreas divisum: implications for diagnostic and therapeutic pancreatography. AJR Am J Roentgenol. 173(1):193-8, 1999
Bret PM et al: Pancreas divisum: evaluation with MR cholangiopancreatography. Radiology. 199(1):99-103, 1996
Rizzo RJ et al: Congenital abnormalities of the pancreas and biliary tree in adults. Radiographics. 15(1):49-68; quiz 147-8, 1995
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