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


Pancreas bifidum is an exceedingly rare foregut anomaly that has not been well studied. A case is presented of a 49-year-old female, with a history of IBS presenting to the ED with worsening severe abdominal pain, who is found to have acute necrotizing pancreatitis isolated to the ventral limb of a bifid pancreatic tail. This report is believed to be the second case ever described that demonstrates acute pancreatitis in a single limb of a bifid pancreatic tail. Further, we believe that findings consistent with small acute necrotic collections localized to the affected limb, suggestive for a necrotizing component, make this case unique and the first to be reported.