An young lady presenting with recurrent episodes of pancreatitis
CT and MRI-MRCP was done
Accessory Pancreatic Lobe
The accessory pancreatic lobe, an extremely rare anomaly, is defined as an accessory lobe of pancreatic tissue originating from the main pancreatic gland and containing an aberrant duct . The accessory lobe may be short or long, with a wide or narrow connection to the main portion of the pancreas. This anomaly is usually associated with a gastric duplication cyst and the aberrant duct communicates with the main pancreatic duct and the duplication cyst Recurrent acute pancreatitis is the most common (66%) clinical manifestation of this anomaly. The underlying cause of recurrent acute pancreatitis is hypothesized to be obstruction of the pancreatic duct by viscous mucus secretions, ulcer bleeding or biliary sludge
Congenital Variants and Anomalies of the Pancreas and Pancreatic Duct: Imaging by Magnetic Resonance Cholangiopancreaticography and Multidetector Computed Tomography
Korean J Radiol. 2013 Nov-Dec; 14(6): 905–913.
Published online 2013 Nov 5. doi: 10.3348/kjr.2013.14.6.905