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Pancreas Divisum
Alexander J. Towbin, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Failed fusion of dorsal & ventral pancreatic ducts with persistence of 2 separate ductal systems
              • 2 main types
                • Complete divisum: No connection between dorsal & ventral pancreatic ducts
                • Incomplete divisum: Rudimentary connection between dorsal & ventral pancreatic ducts

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • Nonvascular Interventions

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Trout AT et al: Current state of imaging of pediatric pancreatitis: AJR expert panel narrative review. AJR Am J Roentgenol. 217(2):265-77, 2021
                                    2. Li Y et al: Secretin improves visualization of nondilated pancreatic ducts in children undergoing MRCP. AJR Am J Roentgenol. 214(4):917-22, 2020
                                    3. Rustagi T et al: Magnetic resonance cholangiopancreatography in the diagnosis of pancreas divisum: a systematic review and meta-analysis. Pancreas. 43(6):823-8, 2014
                                    4. Wang DB et al: Pancreatitis in patients with pancreas divisum: imaging features at MRI and MRCP. World J Gastroenterol. 19(30):4907-16, 2013
                                    5. Nijs E et al: Disorders of the pediatric pancreas: imaging features. Pediatr Radiol. 35(4):358-73; quiz 457, 2005
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Pathology

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Definitions

                                                • Failed fusion of dorsal & ventral pancreatic ducts with persistence of 2 separate ductal systems
                                                • 2 main types
                                                  • Complete divisum: No connection between dorsal & ventral pancreatic ducts
                                                  • Incomplete divisum: Rudimentary connection between dorsal & ventral pancreatic ducts

                                              IMAGING

                                              • General Features

                                                • CT Findings

                                                  • MR Findings

                                                    • Ultrasonographic Findings

                                                      • Nonvascular Interventions

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Trout AT et al: Current state of imaging of pediatric pancreatitis: AJR expert panel narrative review. AJR Am J Roentgenol. 217(2):265-77, 2021
                                                                      2. Li Y et al: Secretin improves visualization of nondilated pancreatic ducts in children undergoing MRCP. AJR Am J Roentgenol. 214(4):917-22, 2020
                                                                      3. Rustagi T et al: Magnetic resonance cholangiopancreatography in the diagnosis of pancreas divisum: a systematic review and meta-analysis. Pancreas. 43(6):823-8, 2014
                                                                      4. Wang DB et al: Pancreatitis in patients with pancreas divisum: imaging features at MRI and MRCP. World J Gastroenterol. 19(30):4907-16, 2013
                                                                      5. Nijs E et al: Disorders of the pediatric pancreas: imaging features. Pediatr Radiol. 35(4):358-73; quiz 457, 2005