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
Google Scholar
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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 :
- Borghei P, Sokhandon F, Shirkhoda A, Morgan DE. Anomalies, anatomic variants, and sources of diagnostic pitfalls in pancreatic imaging. Radiology. 2013;266(1):28-36.
- Thoeni RF, Gedgaudas RK. Ectopic pancreas: usual and unusual features. Gastrointestinal Radiology. 1980 Dec;5:37-42.
- Alberto Feletti, Mariagiulia Anglani, Bruno Scarpa, Francesca Schiavi, Francesca Boaretto, Stefania Zovato, Elisa Taschin, Mario Gardi, Elisabetta Zanoletti, Stefano Piermarocchi, Alessandra Murgia, Giacomo Pavesi, Giuseppe Opocher, Von Hippel-Lindau disease: an evaluation of natural history and functional disability, Neuro-Oncology, Volume 18, Issue 7, July 2016, Pages 1011–1020
- Lee HK, Park SJ, Yi BH, Lee AL, Moon JH, Chang YW. Imaging features of adult choledochal cysts: a pictorial review. Korean Journal of Radiology. 2009;10(1):71-80.
- Mortelé KJ, Rocha TC, Streeter JL, Taylor AJ. Multimodality imaging of pancreatic and biliary congenital anomalies. Radiographics. 2006;26(3):715-31.
- Tohmé-Noun C, Cazals D, Noun R, Menassa L, Valla D, Vilgrain V. Multiple biliary hamartomas: magnetic resonance features with histopathologic correlation. European Radiology. 2008;18:493-9.
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.