Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico "G. Martino" Via Consolare Valeria 1, 98100, Messina, Italy.
Surg Radiol Anat. 2020 Apr;42(4):449-452. doi: 10.1007/s00276-019-02377-7. Epub 2019 Nov 9.
The biliary tree and the pancreatic ducts originate from different buds of the primitive foregut. A plethora of anatomical variants and congenital anomalies have been described for both the biliary and the pancreatic duct systems, although they are usually asymptomatic. However, in some cases, these abnormalities can lead to serious clinical scenarios, especially when involving the biliopancreatic junction, with consequent mixing and reflux of the two different juices. To the best of our knowledge, we present the first case of pancreas divisum ducts draining into a choledochal cyst, with the lower third of the choledochus configuring a common biliopancreatic duct, in a child suffering from cholelithiasis and acute pancreatitis.
胆道树和胰管起源于原始前肠的不同芽。胆道和胰管系统都有大量的解剖变异和先天性异常被描述，尽管它们通常是无症状的。然而，在某些情况下，这些异常可能导致严重的临床情况，特别是当涉及到胆胰交界处时，会导致两种不同的消化液混合和反流。据我们所知，我们报告了首例胰腺分隔导管引流至胆总管囊肿的病例，胆总管的下三分之一形成了共同的胆胰管，患儿患有胆石症和急性胰腺炎。
