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Gastrointestinal and genitourinary systems
Published in Helen Butler, Neel Sharma, Tiago Villanueva, Student Success in Anatomy - SBAs and EMQs, 2022
17 Which of the following statements is correct with regard to the ampulla of Vater? It is synonymous with the lower oesophageal sphincter.It opens into the third part of the duodenum.It is the point of entry of the accessory pancreatic duct into the duodenum.It is the point of entry of the cystic duct into the second part of the duodenum.It is the point of entry of the pancreatic duct and common bile duct into the duodenum.
Clinical importance of main pancreatic duct variants and possible correlation with pancreatic diseases
Published in Scandinavian Journal of Gastroenterology, 2020
Ana Dugic, Sara Nikolic, Steffen Mühldorfer, Milutin Bulajic, Raffaella Pozzi Mucelli, Apostolos V. Tsolakis, J.-Matthias Löhr, Miroslav Vujasinovic
Bud fusion is most commonly accompanied by the fusion of their axial ducts, with the point of junction located between the isthmus and the head of the pancreas. The fusion between the ventral duct and lateral two-thirds of the dorsal duct leads to formation of the duct of Wirsung, which grows to be MPD and sometimes the only excretory pancreatic duct, opening into major duodenal papilla [6]. The medial part of the dorsal duct partially regresses to become the accessory pancreatic duct (APD), known as a duct of Santorini, which commonly opens into minor duodenal papilla (MiP) [8,9]. The process of PDS formation is very complicated, resulting in many individual anatomical variants.
Pancreaticopleural fistula: a rare cause of pleural empyema
Published in Acta Chirurgica Belgica, 2019
Wies Vanderbruggen, Vicky Dhooghe, Bart Bracke, Vera Hartman, Geert Roeyen, Dirk Ysebaert, Paul Van Schil, Thiery Chapelle
Follow-up at three months a MRCP showed a new obstructive stone of 3 mm in the pancreatic duct but no evidence of pancreatitis or residual PPF. A new ERCP was carried out with again successful lithotripsy and stenting of the accessory pancreatic duct to overcome the obstruction.