CASE 152

History: A 42-year-old man presents with epigastric pain.

1. What is the diagnosis of the imaging finding shown in Figure A?

A. Annular pancreas

B. Pancreas divisum

C. Chronic pancreatitis

D. “Double-duct” sign

E. Normal anatomy

2. What is the most common congenital abnormality of the pancreatic gland and ducts?

A. Pancreatic ectopia

B. Pancreas divisum

C. Annular pancreas

D. Pancreatic cysts

3. What is the most common clinical scenario associated with pancreas divisum?

A. Asymptomatic

B. Pancreatitis

C. Carcinoma

D. Diabetes

4. Pancreas divisum is characterized at endoscopic retrograde cholangiopancreatography (ERCP) by a duct in the head and uncinate of the pancreas with a foreshortened, arborizing appearance. What is the embryologic origin of this duct?

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