ANATOMICAL VARIATIONS OF PANCREATIC DUCT IN KASHMIRI PATIENTS UNDERGOING MR CHOLANGIO PANCREATOGRAPHY

SHOWKAT AHMAD; IMTIYAZ AHMAD; RAMEES MOHIUDDIN; MAHBOOB-UL-HAQ

Volume : VIII, Issue : IV, April - 2019

ANATOMICAL VARIATIONS OF PANCREATIC DUCT IN KASHMIRI PATIENTS UNDERGOING MR CHOLANGIO PANCREATOGRAPHY

Showkat Ahmad, Imtiyaz Ahmad, Ramees Mohiuddin, Mahboob Ul Haq

Abstract :

PURPOSE: Major clinically significant developmental anatomic anomalies of the pancreatic duct include fusion anomaly (complete, incomplete pancreas divisum) and migration anomaly (annular pancreas).Apart from being an important albeit rare cause of recurrent pancreatitis the recognition of pancreato-biliary anamolies assumes importance in view of the growing prevalence and complexity of hepato-biliary and pancreatic surgeries .In this study, we aimed to study the prevalence of normal and variant pancreatic ductal anomalies in patients attending MRCP examination in a Kashmiri tertiary care hospital. MATERIALS AND METHODS: Between March 2016 and September 20017, 314 patients suspected of having pancreato-biliary disease underwent MRCP with a 3.0 Tesla scanner. A phased-array coil was used for signal detection. Pancreatic ductal anatomy was studied by evaluation of the thick slabs, source and three dimensional reformatted images. RESULTS:Out of 314 patients studied by MRCP, majority of patients -300 had normal ductal anatomy.11 patients (4 males and 7 females) were diagnosed as having the fusion anamoly -"pancreas divisum" (3.5%) and 3 patients (1 male and 2 females) had migration anamoly -�Annular pancreas� i.e 0.95% CONCLUSION: MRCP is a rapid and non-invasive method of evaluating the pancreatic ductal system. Majority of patients have normal ductal anatomy with the prevalence of pancreatic divisum and annular pancreas being 3.5% and 0.95% respectively in our study .Data from this study can be used for further epidemiological and clinical studies apart from highlighting the importance of preoperative imaging in complex pancreato-biliary surgeries. LIMITATIONS: Small sample size of study group might affect the representative statistics.