Guo Wan-Liang, Bai Xue-Jie, Huang Shun-Gen, Fang Lin, Wang Jian
Radiology Department, The Children's Hospital Affiliated to Soochow University, Suzhou, China.
General Surgery, Traditional Chinese Medicine Hospital of Yulin, Yulin, China.
Clin Anat. 2015 Jul;28(5):645-8. doi: 10.1002/ca.22529. Epub 2015 Mar 4.
The aim of this study was to delineate the structure of the pancreatic and biliary ducts in premature infants using a novel imaging method. The duodenal papillae of 30 premature infant cadavers were dissected. The pancreatic and biliary ducts were visualized using 64-detector multislice spiral computed tomography (MSCT). Contrast agent was injected into the duodenal papilla via the hepatopancreatic ampulla of Vater. MSCT scanning revealed both the pancreatic and biliary ducts as well as the common channel in 18 cases. The bile duct was visualized in the remaining 12 cases. Four patterns of the pancreaticobiliary ductal junction were noted: Y-type (73.3%), U-type (13.3%), V-type (6.7%), and II-type (6.7%). The results showed that MSCT and three-dimensional reconstruction can be used to visualize the junction pattern and common channel of the pancreatic and biliary ducts, and the structure of the surrounding tissue, in premature infants.
