Probst A, Kneissl S
Department of Anatomy, University of Veterinary Medicine, Vienna, Austria.
Vet Radiol Ultrasound. 2001 May-Jun;42(3):226-30. doi: 10.1111/j.1740-8261.2001.tb00929.x.
Barium sulfate was administered into the coeliac artery of 5 canine cadavers to allow for contrast computed tomography of the pancreas. Contiguous, 2-mm-thick slices were acquired. Multiplanar and three-dimensional reformatting were performed to clarify the anatomic relationship. After imaging, the cadavers were frozen, cross sections obtained, and plastinated. These were compared to the computed tomography images. Five plain and contrast enhanced computed tomographic series of normal live controls were acquired and evaluated retrospectively. In the study of the canine cadavers the pancreas became opacified and appeared homogenous with irregular contour. In normal live controls, acquiring an image at the end of expiration allowed a detailed view of the pancreatic parenchyma in the non-alterated pancreas, but pancreatic and bile ducts could not be seen. Adjacent to the hepatic hilus the pancreatic body appeared as a dorsoventrally flattened structure bordering on the ventral surface of the portal vein, both in cadavers and normal live controls. The right lobe extended caudodorsally to the right abdominal wall and aligned with the cranial part of the duodenum. The left lobe was adjacent to the gastric body in all dogs although it was separated from the gastric fundus by the dorsal extremity of the spleen in normal live controls. Neither kidney was suitable as an anatomic marker for localization of the pancreas, unlike traditional references in textbooks. We recommended using the portal vein to localize the pancreatic body, the descending duodenum for the right lobe, and the dorsal extremity of the spleen as well as the gastric fundus for the left lobe.
将硫酸钡注入5只犬类尸体的腹腔动脉,以便对胰腺进行对比计算机断层扫描。获取连续的2毫米厚切片。进行多平面和三维重建以阐明解剖关系。成像后,将尸体冷冻,获取横断面并进行塑化处理。将这些与计算机断层扫描图像进行比较。回顾性获取并评估了5组正常活体对照的平扫和增强计算机断层扫描系列。在犬类尸体研究中,胰腺显影,外观均匀,轮廓不规则。在正常活体对照中,在呼气末获取图像可详细观察未受影响的胰腺实质,但无法看到胰管和胆管。在尸体和正常活体对照中,在肝门附近,胰体呈背腹扁平结构,毗邻门静脉腹侧表面。右叶向尾背侧延伸至右腹壁,与十二指肠头部对齐。在所有犬类中,左叶均与胃体相邻,尽管在正常活体对照中,左叶与胃底被脾脏的背侧端隔开。与教科书中的传统参考不同,没有一个肾脏适合作为胰腺定位的解剖标志。我们建议使用门静脉定位胰体,十二指肠降部定位右叶,脾脏背侧端以及胃底定位左叶。