HIGLIGHTS
•ANP might evolve to MPD rupture which favors PP recurrence.
•In cases of MPD rupture the pancreatic tail must be drained to the stomach.
•Endoscopic duodenum-gastropancreatic anastomosis is a treatment option.
•ANP might evolve to MPD rupture which favors PP recurrence.
•In cases of MPD rupture the pancreatic tail must be drained to the stomach.
•Endoscopic duodenum-gastropancreatic anastomosis is a treatment option.