Lesson 4 (Part 4)

Question 1

What are 4 anomalies of the pancreas?

Answer 1

1. Annular pancreas
2. Cysts
3. Agenesis
4. Pancreatic divisum

Question 2

Annular pancreas

Answer 2

A ring of pancreatic tissue that encircles the duodenum

Question 3

What can annular pancreas cause?

Answer 3

Pancreatitis (inflammation)

Question 4

What wraps around the pancreases head?

Answer 4

The duodenum

Question 5

Cysts

Answer 5

A membranous sac or cavity of abnormal character containing fluid

Question 6

What is associated with cystic disease?

Answer 6

Multiple cysts

Question 7

What is another name for multiple cysts?

Answer 7

von Hippel-Lindau

Question 8

Agenesis

Answer 8

Congenital absence of the body and tail

- the head is typically larger

Question 9

What do you need for the pancreas to survive?

Answer 9

The head

Question 10

What is the most common anomaly?

Answer 10

Pancreatic divisum

Question 11

Pancreatic divisum

Answer 11

Lack of fusion of dorsal and ventral pancreatic buds

Question 12

What does pancreatic divisum affect?

Answer 12

The ducts

Question 13

What is the best way to look at the pancreas? (2)

Answer 13

1. MRI

2. CT

Question 14

What are 2 types of dorsal agenesis?

Answer 14

1. Complete absence of dorsal pancreas

2. Partial absence of dorsal pancreas

Question 15

What happens in 10% of patients with pancreatic ducts?

Answer 15

The ducts of Wirsung and Santorini fail to fuse

- most of the pancreas is then drained through the duct of Santorini and the minor papilla

Question 16

What can pancreatic divisum lead to?

Answer 16

Pancreatitis

Question 17

What is the treatment for pancreas divisum?

Answer 17

Sphincteroplasty of minor papilla

Question 18

What is a pseudomass?

Answer 18

False mass

Question 19

What do pseudomasses appear as?

Answer 19

Bulges

• extend to the right of the GDA
• anterior body where left lobe liver touches the pancreas

Question 20

What does a normal pancreas have? (2)

Answer 20

1. Same echogenicity

2. Same texture