A rare cause of pancreatitis

An young lady presenting with recurrent episodes of pancreatitis

CT and MRI-MRCP was done

CT and MR images reveal the accessor pancreas anterior to D2 .


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

Focal testicular lesions: colour Doppler ultrasound, contrast-enhanced ultrasound and tissue elastography as adjuvants to the diagnosis