Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with recurrent episodes of epigastric pain radiating to the back, consistent with obstructive pancreatitis. History significant for complete pancreas divisum (failed fusion of dorsal and ventral ducts) confirmed via MRCP/ERCP. Symptoms exacerbated by fatty meals; no history of alcohol abuse or biliary lithiasis.
Clinical Examination Findings
Abdominal examination reveals localized epigastric tenderness without rebound or guarding. Bowel sounds are present and normoactive. No palpable masses or organomegaly. Murphy’s sign negative. BMI within normal range. Vitals stable; afebrile.
Treatment Protocol
Management plan includes low-fat diet and pain management. If recurrent pancreatitis persists, consider endoscopic minor papilla sphincterotomy (EMPS) or stent placement to facilitate drainage of the dorsal duct. Surgical consultation for possible sphincteroplasty if endoscopic intervention fails.