Pancreatitis aguda recurrente secundaria a páncreas divisum

espanolEl pancreas divisum es la variante anatomica congenita mas frecuente descrita, en la que no existe comunicacion entre los conductos principal y accesorio pancreaticos. Parece no tener significado patologico aunque en los casos en los que se asocia a una estenosis de la papila menor suele estar asociada a cuadros de pancreatitis recurrente. La importancia de su diagnostico precoz radica en la existencia de un posible tratamiento definitivo en un alto porcentaje de casos a traves del manejo endoscopico mediante colangiopancreatografia retograda endoscopica (CPRE) evitando de esta manera posibles complicaciones a corto plazo con son nuevos episodios de pancreatitis aguda y a largo plazo, pancreatitis cronica, neoplasia, etc EnglishPancreas divisum is the most commonly described congenital anatomical variant, in which there is no communication between the main and accessory pancreatic ducts. It seems to have no pathological significance, although in those cases in which it is associated with minor papilla stenosis it usually develops symptoms of recurrent pancreatitis. The importance of its early diagnosis lies in the existence of a possible definitive treatment in a high percentage of cases through endoscopic management by endoscopic retrograde cholangiopancreatography (ERCP), thus avoiding possible short-term complications related to new episodes of acute pancreatitis and long-term complications related to chronic pancreatitis, neoplasms, etc.