Pancreatic divisum

Recurrent pancreatitis due to pancreatic divisum. Chief Complaints This case is of a 17 yr old male presenting with abdominal pain in the left and right upper quadrants of the abdomen with a significant history of recurrent pancreatitis since the age of seven. The patient was examined with USG W/A,raised Sr Amylase and lipase which identified pancreatitis. Further magnetic resonance cholangiopancreatography (MRCP) assisted in the diagnosis of Type 1 pancreatic divisum, given the absence of communication between the dorsal and ventral duct.

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Chr recurrent pancreatitis as serum amylase and lipase are suggesting Leucocytosis predominantly neutrophils Usg suggest chr pancreatitis with ascitis and pleural effusion Mrcp suggestive of pancreatic DIVISUM First we need to resolve the infection hence broadspectrum antibiotics and steroids sos insulin as per bsl Followed by surgical intervention closing the accessory opening and relocating the ductal opening in duodinum If that fails pancreas transplant

Thanx dr Ashutosh Chandan Dubey
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PANCREATIC DUCT ANOMALIES WITH.. PANCREATITIS.. WITH.. ASCITES AND PLURAL EFFUSION.. LEUKOCYTOSIS.. ELEVATED LEVELS OF AMYLASE..LEVELS AND LIPASE.. NEED'S.. SURGICAL INTERVENTION.. FOR.. PANCREATIC DUT AND SPHINCTEROCTOMY ..

Tnx Dr Shivraj Agarwal sir
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Good diagnosis, very interesting case . Treatment is controversial. Puestow procedure ,or sphincterotomy of minor papilla with stenting is advocated. Ling term complications like pseudopancreatic cyst, pancreatic diabetes, sprue ,electrolyte imbalances , poly serositis should be anticipated.

Thank you,Dr Dubey
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Acute Pancreatitis 1. Tab Punaranava Mandur 2BID 2. Tab Kachanar Guggulu 2BID 3. Tab Arogyavardhini 2BID 4. Nishothhar churan 1tsf empty stomach in morning

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