Case Report
Copyright ©2013 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Radiol. Jul 28, 2013; 5(7): 264-266
Published online Jul 28, 2013. doi: 10.4329/wjr.v5.i7.264
Choledochocele with pancreas divisum: A rare co-occurrence diagnosed on magnetic resonance cholangiopancreatography
Yashwant Patidar, Nitesh Agarwal, Shailesh Gupta, Ankur Arora, Amar Mukund, S Rajesh
Yashwant Patidar, Nitesh Agarwal, Shailesh Gupta, Ankur Arora, Amar Mukund, S Rajesh, Department of Radiology, Institute of Liver and Biliary Sciences, New Delhi 110070, India
Author contributions: Patidar Y and Agarwal N designed research; Gupta S and Rajesh S performed research; Arora A and Mukund A contributed new reagents or analytic tools; Patidar Y and Rajesh S wrote the paper.
Correspondence to: Yashwant Patidar, MD, Department of Radiology, Institute of Liver and Biliary Sciences, D-1 Vasant Kunj, New Delhi 110070, India. yash_patidar@yahoo.co.in
Telephone: +91-95-40950980 Fax: +91-11-26123504
Received: April 16, 2013
Revised: June 5, 2013
Accepted: July 4, 2013
Published online: July 28, 2013
Processing time: 108 Days and 1.9 Hours
Abstract

We report a case of a 42-year-old male with symptomatic choledochocele and incidental pancreas divisum diagnosed with magnetic resonance cholangiopan- creatography (MRCP). Small choledochocele is rare congenital malformation associated with non-specific symptoms and a delay in diagnosis. The coexistence of choledochocele and pancreas divisum is extremely rare with only two case reports published in literature. In both cases MRCP failed to diagnose any biliary or pancreatic abnormality. This case suggests that the patients with recurrent abdominal pain and pancreas divisum should not be presumed to be suffering from pancreatitis. Careful evaluated for additional anomalies in the biliary tree should be sought for refractory symptoms. MRCP is a useful one-stop-shop for diagnosing pancreatic and biliary ductal anomalies.

Keywords: Choledochocele; Pancreas divisum; Magnetic resonance cholangiopan-creatography; Pancreatic and biliary ductal anomalies; Pancreatitis

Core tip: Small choledochocele is a rare congenital malformation associated with non-specific symptoms and a delay in diagnosis. The coexistence of choledochocele and pancreas divisum is extremely rare with only two cases reported in literature. In both cases magnetic resonance cholangiopancreatography (MRCP) failed to diagnose any biliary or pancreatic abnormality. We report a case of a 42-year-old male with symptomatic choledochocele and incidental pancreas divisum diagnosed with MRCP.