Chronic Calcific Pancreatitis in Pancreatic Divisum with Intestinal Malrotation: A Rare Case Report
Bijit Saha
*
Department of Surgical Gastroenterology, The Mission Hospital, Durgapur, India.
Sriparna Biswas
Department of Microbiology, Bankura Sammilani Medical College & Hospital, India.
Arnab Mandal
Department of Radiology, The Mission Hospital, Durgapur, India.
*Author to whom correspondence should be addressed.
Abstract
Pancreatic divisum, the most common congenital anomaly of the pancreas, is associated with recurrent pancreatitis, which may lead to chronic pancreatitis and can present as chronic calcific pancreatitis. Intestinal malrotation, a rare embryological disorder caused by incomplete midgut rotation, often presents in childhood with abdominal pain or vomiting but may occasionally be detected in adults. Their coexistence is extremely rare, given their independent embryological origins. We report the case of a 25-year-old male who presented with recurrent abdominal pain, vomiting, and steatorrhea. Imaging confirmed chronic calcific pancreatitis in the setting of pancreatic divisum, along with features of intestinal malrotation. The patient underwent a combined surgical approach: Frey’s procedure for pancreatitis and Ladd’s procedure for correction of malrotation. Postoperatively, recovery was uneventful, and the patient remained asymptomatic at two months of follow-up.
Keywords: Pancreatic divisum, intestinal malrotation, chronic calcific pancreatitis, Frey’s procedure, Ladd’s procedure