Euroasian journal of hepato-gastroenterology

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VOLUME 12 , ISSUE 1 ( January-June, 2022 ) > List of Articles

CASE REPORT

Disconnected Pancreatic Duct Syndrome: A Case Series

Satyam Satyam, Sapna Singh, Punit Kumar Sah

Keywords : Acute necrotizing pancreatitis, Contrast-enhanced computed tomography, Disconnected pancreatic duct syndrome, Magnetic resonance cholangiopancreatography, Main pancreatic duct

Citation Information : Satyam S, Singh S, Sah PK. Disconnected Pancreatic Duct Syndrome: A Case Series. Euroasian J Hepatogastroenterol 2022; 12 (1):60-63.

DOI: 10.5005/jp-journals-10018-1357

License: CC BY-NC 4.0

Published Online: 13-07-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Disconnected pancreatic duct syndrome (DPDS) is a condition where there is a ductal disconnection between viable secreting distal pancreatic tissues and the gastrointestinal tract. It may follow acute or chronic pancreatitis, abdominal trauma, and pancreatic surgery, leading to necrosis or structural disintegration of the pancreatic duct. Aim: The aim of our study is to describe the imaging features of DPDS on ultrasound, computed tomography, and magnetic resonance cholangiopancreatography (MRCP) that helps in diagnosis. We present a case series of DPDS with their imaging features in two settings, one in the patient with acute necrotizing pancreatitis and the other with blunt abdominal trauma. Conclusion: Imaging plays a significant role in preoperative diagnosis. Contrast-enhanced computed tomography provides a comprehensive assessment of pancreatic duct integrity, and it shows its type and site of ductal disruption. It is a simple, effective noninvasive imaging modality in diagnosing pancreatic duct disruption.


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