J Korean Med Sci.  2006 Apr;21(2):358-360. 10.3346/jkms.2006.21.2.358.

A Case of Santorinicele without Pancreas Divisum: Diagnosis with Multi-detector Row Computed Tomography

• Nam KD
• Joo KR
• Jang JY
• Kim NH
• Lee SK
• Dong SH
• Kim HJ
• Kim BH
• Chang YW
• Lee JI
• Chang R

• KMID: 1781851
• DOI: http://doi.org/10.3346/jkms.2006.21.2.358

Abstract

A santorinicele is defined as a focal cystic dilatation of the terminal portion of the dorsal pancreatic duct at the minor papilla. Most cases reported previously were associated with pancreas divisum and a santorinicele without pancreas divisum is known to be rare. We recently experienced a typical case of a santorinicele without pancreas divisum in a 67-yr-old woman with abdominal pain and hematochezia, subsequently proven to be the result of an ischemic colitis. The santorinicele was diagnosed incidentally with multi-detector row computed tomography using a minimum intensity projection technique, which clearly showed a cystic dilatation of the terminal portion of the dorsal pancreatic duct and a communication between the ventral and dorsal pancreatic ducts. This finding was also confirmed by a magnetic resonance cholangiopancreatography.

Keyword

Pancreas; Santorinicele; Tomography; Spiral Computed

MeSH Terms

Tomography, X-Ray Computed/methods
Pancreatic Ducts/pathology/*radiography
Pancreatic Cyst/pathology/radiography
Pancreas/pathology/radiography
Humans
Female
Dilatation, Pathologic
Aged

Figure

• 

  Fig. 1 (A) Contrast-enhanced axial CT scan of the abdomen at level of the pancreas head shows a small, round cystic structure (arrow) in the pancreas head adjacent to the second portion of the duodenum (asterisk). (B) CT pancreatography using a minimum intensity projection technique shows a santorinicele and communication between the ventral and dorsal pancreatic ducts. (C) Coronal MRCP image also reveals a santorinicele with no evidence of pancreas divisum.

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