Illustrated Encyclopedia of Human Anatomic Variation: Opus IV: Organ Systems
Ronald A. Bergman, PhD
Adel K. Afifi, MD, MS
Ryosuke Miyauchi, MD
Peer Review Status: Internally Peer Reviewed
A |
Pancreas of a human embryo, fifth week |
B |
Pancreas of a human embryo, seventh week |
C |
Most common arrangement of pancreatic ducts |
D |
Specimen with three papillae |
E |
Adult pancreas showing an embryonic type of duct system in which the accessory duct carries most of the pancreatic secretion |
F |
Adult pancreas showing an unusual loop configuration of the main pancreatic duct |
G |
In 73 of 250 specimens, about 29%, no connection between the pancreatic and bile ducts was found, each entering the duodenum contiguously or at separate points |
H |
In 92 specimens, 37%, the two ducts were contiguous with the dividing septum terminating about 2 mm from the apex |
I |
In 81 instances, 30%, the duct emptied into a common ampulla which extended from 3 to 14 mm from the apex of the duodenal orifice. In four specimens the length of the diverticulum exceeded 10 mm and was as shown |
J |
In four instances the pancreatic duct was reduced to a fibrous cord (not shown), and the accessory duct drained the entire gland. |
Redrawn from Rienhoff, W.F. Jr. and K.L. Pickrell. Pancreatitis. An anatomic study of the pancreatic and extrahepatic biliary systems.Arch. Surg. 51:205-219, 1945.
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