Radiological Case: Pancreas Bifidum With Acute Necrotizing Pancreatitis in a Single Limb

Steven L. Weiner, MD; Kenneth M. Zinn, MD; Thomas D. Olsavsky, MD


Appl Radiol. 2017;46(8):32-34. 

In This Article

Case Summary

A 49-year-old female patient with a history of irritable bowel syndrome (IBS) presented to the emergency department at our institution with worsening severe constant generalized abdominal pain radiating to the back that began in the epigastric region. She also complained of nausea, vomiting, and diarrhea. She stated that her pain was not controlled with Tylenol/Codeine nor with Donnatal prescribed by her gastroenterologist. She denied fever, chills, alcohol use/abuse, changes in diet, recent illness or sick contacts, mucous or blood in her stools, dysuria, or hematuria. On physical exam, the patient was tender to palpation in the abdomen, particularly over the epigastric region, with positive rebound and normal bowel sounds. The rest of the physical exam was unremarkable. Her laboratory exam demonstrated mild elevations of white blood cell count, lipase, AST, and direct bilirubin, as well as a negative urine pregnancy test.