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</div><div><span>Pancreas divisum</span></div></div>
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<article><div id="d-article"><div class="page-info"><div class="page-title"><a name="start" id="start">
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</a><h1 class="with-also" itemprop="name">Pancreas divisum</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>Pancreas divisum is a birth defect in which parts of the pancreas do not join together. The pancreas is a long, flat organ located between the stomach and spine. It helps in food digestion.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Causes</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>Pancreas divisum is the most common birth defect of the pancreas. In many cases, this defect goes undetected and causes no problems. The cause of the defect is unknown.</p><p>As a baby develops in the womb (uterus), two separate pieces of tissue join together to form the pancreas. Each part has a tube, called a duct. When the parts join together, a final duct, called the pancreatic duct, is formed. Fluid and digestive juices (enzymes) produced by the pancreas normally flow through this duct.</p><p>Pancreas divisum occurs if the ducts do not join while the baby develops. Fluid from the two parts of the pancreas drains into separate areas of the upper portion of the small intestine (duodenum). This occurs in 5% to 15% of people.</p><p>If a pancreatic duct becomes blocked, swelling and tissue damage (pancreatitis) may develop.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Symptoms</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>Many people do not have any symptoms. If you have pancreatitis, symptoms include:</p><ul><li><a test="test" href="./003120.htm">Abdominal pain</a>, most often in the upper abdomen that may be felt in the back</li><li><a test="test" href="./003122.htm">Abdominal swelling</a> (distention)</li><li>Nausea or vomiting </li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Exams and Tests</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>You may have the following tests:</p><ul><li><a test="test" href="./003777.htm">Abdominal ultrasound</a></li><li><a test="test" href="./003789.htm">Abdominal CT scan</a></li><li><a test="test" href="./003464.htm">Amylase</a> and <a test="test" href="./003465.htm">lipase</a> blood test</li><li>Endoscopic retrograde cholangiopancreatography (ERCP)</li><li>Magnetic resonance cholangiopancreatography (MRCP)</li><li><a test="test" href="./007646.htm">Endoscopic ultrasound</a> (EUS) </li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Treatment</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>The following treatments may be needed if you have symptoms of the condition, or if pancreatitis keeps returning:</p><ul><li>ERCP with a cut to enlarge the opening where the pancreatic duct drains</li><li>Placement of a stent to prevent the duct from getting blocked </li></ul><p>You may need surgery if these treatments do not work. </p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Outlook (Prognosis)</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>Most of the time, the outcome is good.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Possible Complications</h2></div><div class="section-button"><button type="submit" aria-controls="section-6" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-6"><p>The main complication of pancreas divisum is pancreatitis.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>When to Contact a Medical Professional</h2></div><div class="section-button"><button type="submit" aria-controls="section-7" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-7"><p>Contact your health care provider if you develop symptoms of this disorder.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Prevention</h2></div><div class="section-button"><button type="submit" aria-controls="section-8" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-8"><p>Because this condition is present at birth, there is no known way to prevent it.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Pancreatic divisum</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/24360t.jpg" alt="Pancreas divisum" title="Pancreas divisum" class="side-img"/><a href="../imagepages/19936.htm">Pancreas divisum</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/1090t.jpg" alt="Digestive system" title="Digestive system" class="side-img"/><a href="../imagepages/1090.htm">Digestive system</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/1093t.jpg" alt="Endocrine glands" title="Endocrine glands" class="side-img"/><a href="../imagepages/1093.htm">Endocrine glands</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/8883t.jpg" alt="Pancreas" title="Pancreas" class="side-img"/><a href="../imagepages/8883.htm">Pancreas</a></li>
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</ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Adams DB, Coté GA. Pancreas: Pancreas divisum and other variants of dominant dorsal duct anatomy. In: Cameron J, ed. <em>Current Surgical Therapy.</em> 14th ed. Philadelphia, PA: Elsevier; 2023:539-650.</p><p>Kumar V, Abbas AK, Aster JC, Deyrup AT, Das A, Pancreas. In: Kumar V, Abbas AK, Aster JC, Deyrup AT, Das A, eds. <em>Robbins & Kumar Basic Pathology.</em> 11th ed. Philadelphia, PA: Elsevier; 2023:chap 15.</p><p>Mehta MS, Barth BA, Husain SZ. Anatomy, histology, embryology and developmental anomalies of the pancreas. In: Feldman M, Friedman LS, Brandt LJ, eds. <em>Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. </em>11th ed. Philadelphia, PA: Elsevier; 2021:chap 55.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 12/31/2023</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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