Complex Pancreaticobiliary Maljunction with Pancreas Divisum and Obstructive Pseudocyst

复杂性胰胆管汇合异常伴胰腺分裂和梗阻性假性囊肿

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Abstract

Pancreaticobiliary maljunction (PBM) is the congenital junction of the bile and pancreatic ducts into a common channel located anatomically outside of the duodenal wall. The complex type (Type D) is the rarest type and occurs in conjunction with other pancreaticobiliary anomalies. We present a case of complex PBM with pancreas divisum presenting as acute pancreatitis and obstructive symptoms secondary to a pancreatic pseudocyst. Surgical management is discussed, as complex type PBM is most predisposed to post-operative complications.

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