PMC7813647_01
MRI showing a dilatation of the princpale biliary tract upstream of a lithiasis with the appearance of a loop at the level of the wirsung canal evoking an ansa pancreatica
PAMJ-37-202-g001.jpg
PMC7813647_01_PAMJ-37-202-g001.jpg
F1
Since it is recurrent pancreatitis, we did magnetic resonance cholangiopancreatography (MRCP) which showed a gallbladder stones and dilation of the common bile duct to 10 mm with a sudden stop of low choledochal duct interpreted as lithiasis, with an aspect of a loop at the level of the accessory pancreatic duct evoking an ansa pancreatica (Figure 1); than an endoscopic retrograde cholangiopancreatography (ERCP) revealed an ansa pancreatica with a common bile duct clear without lithiasis (Figure 2), a sphincterotomy of the major papilla was performed to lower the downstream tension.
ERCP showing aspect in favor of an ansa pancreatica
PAMJ-37-202-g002.jpg
PMC7813647_01_PAMJ-37-202-g002.jpg
F2
Since it is recurrent pancreatitis, we did magnetic resonance cholangiopancreatography (MRCP) which showed a gallbladder stones and dilation of the common bile duct to 10 mm with a sudden stop of low choledochal duct interpreted as lithiasis, with an aspect of a loop at the level of the accessory pancreatic duct evoking an ansa pancreatica (Figure 1); than an endoscopic retrograde cholangiopancreatography (ERCP) revealed an ansa pancreatica with a common bile duct clear without lithiasis (Figure 2), a sphincterotomy of the major papilla was performed to lower the downstream tension.