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 pancreas divisum with documented santorinicele on MRCP/EUS. Symptoms exacerbated by high-fat intake; no associated jaundice or weight loss noted.
Clinical Examination Findings
Abdominal examination reveals localized epigastric tenderness without rebound or guarding. Bowel sounds present. No palpable masses or organomegaly. Murphy’s sign negative. Skin shows no signs of jaundice or scleral icterus.
Treatment Protocol
Management plan includes low-fat diet, pancreatic enzyme supplementation, and pain management. Referral for endoscopic retrograde cholangiopancreatography (ERCP) with minor papilla sphincterotomy to relieve obstruction caused by the santorinicele. Surgical consultation for potential pancreaticojejunostomy if endoscopic intervention fails.