Imaging Features of Congenital Anomalies and Anatomic Variants of Pancreatiocobiliary Tract in MRCP


Authors : Dr. Purushotham Reddy Pasurla; Dr. Santosh D Patil; Dr. Ashwin Patil; Dr. Virupaxi Hattiholi; Dr. Pradeep S Goudar

Volume/Issue : Volume 10 - 2025, Issue 3 - March


Google Scholar : https://tinyurl.com/2sjpv4y4

Scribd : https://tinyurl.com/yuaj5yjc

DOI : https://doi.org/10.38124/ijisrt/25mar803

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Abstract : Objective This study explores a range of congenital anomalies and anatomical variants of the pancreas, pancreatic ductal system, and biliary tree, emphasizing the critical role of Magnetic Resonance Cholangiopancreatography (MRCP) in their diagnosis.  Methods The study was conducted over six months and involved the use of MRCP imaging to diagnose anomalies and variations in the pancreas, pancreatic ductal system, and biliary tree of patients presenting with obstructive jaundice.  Subjects Twenty patients with obstructive jaundice participated in this prospective study.  Results The study identified several common anomalies:  Congenital Anomalies: Observed in 65% of patients. The most frequent anomaly was choledochal cysts, found in 76.9% of these cases, followed by pancreatic divisum, von Meyenburg complexes, and distal pancreas agenesis.  Anatomic Variants: Found in 40% of patients, including cystic duct low medial insertion and variations in the right posterior hepatic duct. MRCP imaging effectively revealed variations such as cystic duct low medial insertion and atypical bile duct branching patterns.  Conclusion The findings underscore the importance of understanding embryological development and normal anatomy to avoid diagnostic pitfalls and optimize interventional planning. MRCP proved effective in detailed visualization, aiding in accurate diagnosis and preoperative evaluation. If you need further elaboration or additional information, feel free to ask!

Keywords : Anatomical Variants, Biliary Tree, Choledochal Cysts, Congenital Anomalies, Jaundice, Magnetic Resonance Cholangiopancreatography (MRCP), Pancreas, Pancreatic Divisum.

References :

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Objective This study explores a range of congenital anomalies and anatomical variants of the pancreas, pancreatic ductal system, and biliary tree, emphasizing the critical role of Magnetic Resonance Cholangiopancreatography (MRCP) in their diagnosis.  Methods The study was conducted over six months and involved the use of MRCP imaging to diagnose anomalies and variations in the pancreas, pancreatic ductal system, and biliary tree of patients presenting with obstructive jaundice.  Subjects Twenty patients with obstructive jaundice participated in this prospective study.  Results The study identified several common anomalies:  Congenital Anomalies: Observed in 65% of patients. The most frequent anomaly was choledochal cysts, found in 76.9% of these cases, followed by pancreatic divisum, von Meyenburg complexes, and distal pancreas agenesis.  Anatomic Variants: Found in 40% of patients, including cystic duct low medial insertion and variations in the right posterior hepatic duct. MRCP imaging effectively revealed variations such as cystic duct low medial insertion and atypical bile duct branching patterns.  Conclusion The findings underscore the importance of understanding embryological development and normal anatomy to avoid diagnostic pitfalls and optimize interventional planning. MRCP proved effective in detailed visualization, aiding in accurate diagnosis and preoperative evaluation. If you need further elaboration or additional information, feel free to ask!

Keywords : Anatomical Variants, Biliary Tree, Choledochal Cysts, Congenital Anomalies, Jaundice, Magnetic Resonance Cholangiopancreatography (MRCP), Pancreas, Pancreatic Divisum.

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