PANCREATIC TRAUMA IN PATIENTS WITH PANCREATICOBILIARY ANOMALY

One patient with a choledochal cyst and anomalous pancreaticobiliary j unction had pancreatic transection causing bile peritonitis. Intraoper ative cholangiopancreatography revealed this anomaly. In another patie nt with pancreas divisum, cannulation of the minor papilla (ERCP) demo nstrated focal stenosis of the dorsal pancreatic duct, corresponding t o the site of the minor laceration. The possibility of a coexisting pa ncreatobiliary anomaly should be considered in the diagnosis of pancre atic trauma, particularly in terms of the interpretation of pancreatog rams.