Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with recurrent episodes of epigastric pain radiating to the back, consistent with obstructive pancreatopathy. Imaging (MRCP/ERCP) confirms incomplete pancreas divisum with a small-caliber communication between the dorsal and ventral ducts. Symptoms are exacerbated by fatty meals; no history of alcohol abuse or hypertriglyceridemia.
Clinical Examination Findings
Abdominal examination reveals mild epigastric tenderness on deep palpation. No evidence of rebound tenderness, guarding, or palpable masses. Bowel sounds are normoactive. Skin is non-icteric; no signs of chronic liver disease or stigmata of malabsorption.
Treatment Protocol
Initial management focuses on conservative therapy: low-fat diet, pancreatic enzyme supplementation, and analgesia. If symptoms persist or recurrent pancreatitis occurs, endoscopic minor papilla sphincterotomy (EMPS) or stent placement will be considered to facilitate drainage of the dorsal duct.