Unusual Finding in a Patient With Pancreas Divisum and Abdominal Pain

Authors: Henning Gerke, MD, Michael F. Byrne, MD, Paul S. Jowell, MDSeries Editor: Klaus Mergener, MD

Disclosures

July 30, 2003

Case Presentation

A 74-year-old white woman complained of mild intermittent epigastric pain and weight loss of 5 lb during the last 5 months. She had a long history of mild abdominal discomfort, which had been diagnosed as irritable bowel syndrome. She clearly differentiated her newly developed abdominal pain from these more chronic symptoms. She had no diarrhea. Family history was negative for pancreatic disease, and the patient denied alcohol consumption. Her prior medical history was remarkable for cholecystectomy and recent onset of diabetes mellitus, which was treated with metformin. Results of laboratory studies, including pancreatic enzymes, a complete blood count, and liver function tests, were within normal limits except for a transient, mild alanine aminotransferase elevation. An abdominal computed tomography (CT) scan was performed (Figure 1a, 1b).

What are the pertinent findings on CT scan?

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