Atlas of Gastrointestinal Imaging Figure 1.3.2 Pancreas divisum with dorsal duct IPMN

Dr. Perry Pickhardt

Aug 26, 2007

FIGURE 1.3.2 Pancreas divisum with dorsal duct IPMN. Transverse (A) and coronal (B) curved reformatted CT images show cystic dilatation of the entire dorsal duct in a patient with pancreas divisum (note how the dilated duct drains to the minor papilla). Endoscopic image (C) shows cannulation of the dilated minor papilla orifice. ERCP image (D) after injection via the minor papilla shows a massively dilated dorsal duct. The filling defects in the pancreatic tail represent intraluminal mucin. No invasive carcinoma was found at distal pancreatectomy.

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