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Anatomy Atlases: Illustrated Encyclopedia of Human Anatomic Variation: Opus IV: Organ Systems: Pancreatic and Common Bile Ducts

Illustrated Encyclopedia of Human Anatomic Variation: Opus IV: Organ Systems

Pancreatic and Common Bile Ducts

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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