Synonym: disconnected left pancreatic remnant (DLPR)
Conditions associated with DPDS include:
(1) acute necrotizing pancreatitis
(2) chronic pancreatitis
(3) blunt trauma to the pancreatic neck (an area vulnerable to vascular injury)
The patient develops a range of abdominal complaints. The onset may be acute or delayed.
Features of DPDS:
(1) There is complete discontinuity of the pancreatic duct.
(2) There is a viable left pancreatic remnant that continues to secrete pancreatic juices.
(3) Fluid from the left pancreatic remnant does not drain into the duodenum.
(4) Fluid from the left pancreatic remnant drains into the retroperitoneum, into a pseudocyst, as fluid around the pancreas or through a fistula
The anatomy of the pancreatic duct can be visualized using CT, ERCP and/or MR cholangiopancreatography
