title: Aberrant pancreatic ductal organisation: a case report.
abstract: Anomalous pancreatic ductal system has always enthralled the anatomists, surgeons, gastroenterologists and radiologists alike. With the growing use of MRCP, ERCP and endoscopic and surgical procedures, the knowledge of anatomical aberrations of pancreaticobiliary tract becomes extremely important. Moreover, the anomalous pancreatic duct morphology may be responsible for atypical gastrointestinal complains. We report an exceptionally rare case of two accessory ventral pancreatic ducts opening separately into the common bile duct proximal to the hepato pancreatic ampulla. Concomitant occurrence of an ectopic major duodenal papilla, 3.8 cm distal to the pyloric end of stomach was also seen. Moreover, the accessory pancreatic duct and the minor duodenal papilla were absent. Clinical implications and embryological description of these rare anomalies are discussed. Awareness of such rare morphological variants can go a long way in assisting effective patient management.
authors.affiliation: Department of Anatomy, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, 110029, India, sm.8sep@gmail.com.
authors.forename: Shivi
authors.initials: S
authors.lastname: Goel
authors.forename: Shaifaly Madan
authors.initials: SM
authors.lastname: Rustagi
authors.forename: Susmita
authors.initials: S
authors.lastname: Saha
authors.forename: Vandana
authors.initials: V
authors.lastname: Mehta
authors.forename: Rajesh Kumar
authors.initials: RK
authors.lastname: Suri
authors.forename: Gayatri
authors.initials: G
authors.lastname: Rath
mesh_terms: D002102:Cadaver; D004210:Dissection; D006801:Humans; D008297:Male; D008875:Middle Aged; D010183:Pancreatic Ducts / Q000002:abnormalities*
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