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©2013 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Aug 14, 2013; 19(30): 4907-4916
Published online Aug 14, 2013. doi: 10.3748/wjg.v19.i30.4907
Published online Aug 14, 2013. doi: 10.3748/wjg.v19.i30.4907
Pancreatitis in patients with pancreas divisum: Imaging features at MRI and MRCP
Deng-Bin Wang, Department of Radiology, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
Jinxing Yu, Ann S Fulcher, Mary A Turner, Department of Radiology, Virginia Commonwealth University, Medical College of Virginia, Richmond, VA 23298-0615, United States
Author contributions: Wang DB and Yu J performed the data acquisition, interpretation, and analysis; Wang DB, Yu J and Fulcher AS revised the manuscript; Wang DB, Yu J, Fulcher AS and Turner MA designed the study and wrote the manuscript.
Supported by National Natural Science Foundation of China, No. 81171389; Key Basic Research Project of Shanghai Municipal Science and Technology Commission, No. 12JC1406500
Correspondence to: Deng-Bin Wang, MD, PhD, Chair and Professor, Department of Radiology, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, 1665 Kongjiang Road, Shanghai 200092, China. dbwang8@aliyun.com
Telephone: +86-21-25078999 Fax: +86-21-65030840
Received: April 23, 2013
Revised: June 13, 2013
Accepted: June 28, 2013
Published online: August 14, 2013
Processing time: 112 Days and 10.3 Hours
Revised: June 13, 2013
Accepted: June 28, 2013
Published online: August 14, 2013
Processing time: 112 Days and 10.3 Hours
Core Tip
Core tip: We reviewed 1439 cases of abdominal magnetic resonance imaging (MRI) and magnetic resonance cholangiopancreatography (MRCP). There were 122 cases of pancreas divisum (PD) and 38 of them were diagnosed as pancreatitis. The pancreatitis associated with PD was usually distributed in dorsal pancreas and presented as recurrent acute type. MRCP in combination with MRI can accurately detect ductal and parenchymal abnormalities of pancreas. Therefore, MRCP and MRI should be referred to as primary diagnostic tools for pancreatitis with PD whereas endoscopic retrograde cholangiopancreatography can be reserved for those who require therapeutic interventions.