Ann Hepatobiliary Pancreat Surg.  2020 Aug;24(3):381-387. 10.14701/ahbps.2020.24.3.381.

Recurrent pancreatitis in the setting of gallbladder agenesis,ansa pancreatica, Santorinicoele and eventual intraductal papillary mucinous neoplasia (IPMN)

Affiliations
  • 1Princess Alexandra Hospital Brisbane, Queensland, Australia
  • 2School of Medicine The University of Brisbane, Queensland, Australia
  • 3Department of General Surgery, The Prince Charles Hospital Brisbane, Queensland, Australia
  • 4Department of Gastroenterology, Royal Brisbane and Woman’s Hospital Brisbane, Queensland, Australia
  • 5Department of Radiology, The Prince Charles Hospital Brisbane, Queensland, Australia
  • 6Department of HPB Surgery, Royal Brisbane and Woman’s Hospital, Brisbane, Queensland, Australia

Abstract

Gallbladder agenesis is a rare condition. Patients with gallbladder agenesis can present with biliary type symptoms and rarely pancreatitis. We present the case of a 35-year-old gentleman who was admitted and treated for recurrent pancreatitis on a background of gallbladder agenesis, ansa pancreatica and Santorinicoele. He has had several admissions with pancreatitis and has had multiple imaging modalities during these admissions which we delineate. We discuss this rare anatomical variant and describe the course and management of his illness leading up to his eventual diagnosis of intraductal papillary neoplasia (IPMN).

Keyword

Gallbladder agenesis; Santorinicoele; Ansa pancreatica; Recurrent pancreatitis; Intraductal papillary neoplasia; IPMN
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