ArticleJournal of surgical case reports2026
Ansa pancreatica identified on magnetic resonance cholangiopancreatography: a case report.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
A young female presented with acute epigastric pain radiating to the back, with associated symptoms of vomiting and a 2-year history of similar intermittent upper abdominal symptoms with no alcohol use history, smoking, or chronic illness. Laboratory investigations revealed elevated serum amylase and lipase, while imaging studies demonstrated acute-on-chronic pancreatitis with a dilated main pancreatic duct. Magnetic resonance cholangiopancreatography revealed a ductal anomaly, ansa pancreatica, characterized by a looping communication between the main and accessory pancreatic ducts draining via the minor papilla. Conservative management of symptoms continued to fail; therefore, a surgical procedure, Frey's procedure, was performed, which showed improved clinical outcomes. This case highlights the clinical significance of ansa pancreatica as a rare but often misdiagnosed cause of recurrent pancreatitis in young patients without an alcohol use history.
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