Meandering main pancreatic duct
Last revised by Yaïr Glick on 13 Jul 2021
Citation, DOI, disclosures and article data
Citation:
V U, Glick Y, Kang O, et al. Meandering main pancreatic duct. Reference article, Radiopaedia.org (Accessed on 07 Dec 2023) https://doi.org/10.53347/rID-25463
Permalink:
rID:
25463
Article created:
26 Oct 2013, Umamaheswara Reddy V
Disclosures:
At the time the article was created Umamaheswara Reddy V had no recorded disclosures.
View Umamaheswara Reddy V's current disclosuresLast revised:
13 Jul 2021, Yaïr Glick ◉
Disclosures:
At the time the article was last revised Yaïr Glick had no recorded disclosures.
View Yaïr Glick's current disclosuresRevisions:
10 times, by 7 contributors - see full revision history and disclosures
Systems:
Sections:
Tags:
Synonyms:
- Meandering main pancreatic duct (MMPD)
Meandering main pancreatic duct (MMPD) denotes a main pancreatic duct that drains normally into the major papilla but performs a hairpin turn (reverse Z-type) or loop (loop-type) in the pancreatic head, in contradistinction to the smooth curvature seen in most cases.
These ductal variants are found on ERCP and MRCP studies. Their exact incidence is not known.
Significantly increased incidence of meandering pancreatic duct has been reported in patients with idiopathic recurrent acute pancreatitis (40%) compared with the general population (2.2%) 1.
References
- 1. Gonoi W, Akai H, Hagiwara K et-al. Meandering main pancreatic duct as a relevant factor to the onset of idiopathic recurrent acute pancreatitis. PLoS ONE. 2012;7 (5): e37652. doi:10.1371/journal.pone.0037652 - Free text at pubmed - Pubmed citation
- 2. Bang S, Suh JH, Park BK et-al. The relationship of anatomic variation of pancreatic ductal system and pancreaticobiliary diseases. Yonsei Med. J. 2006;47 (2): 243-8. Free text at pubmed - Pubmed citation
- 3. Delhay M, Matos C, Deviere J. Acute relapsing pancreatitis. Congenital variants: diagnosis, treatment, outcome. JOP. 2002;2 (6): 373-81. Pubmed citation
Incoming Links
Articles:
Related articles: Anatomy: Abdominopelvic
- skeleton of the abdomen and pelvis
- muscles of the abdomen and pelvis
- spaces of the abdomen and pelvis
- anterior abdominal wall
- posterior abdominal wall
- abdominal cavity
- pelvic cavity
- perineum
- abdominal and pelvic viscera
- gastrointestinal tract
- spleen
- hepatobiliary system
-
endocrine system
-
adrenal gland
- adrenal vessels
- chromaffin cells
- variants
- pancreas
- organs of Zuckerkandl
-
adrenal gland
-
urinary system
-
kidney
- renal pelvis
- renal sinus
- avascular plane of Brodel
-
variants
- number
- fusion
- location
- shape
- ureter
- urinary bladder
- urethra
- embryology
-
kidney
- male reproductive system
-
female reproductive system
- vulva
- vagina
- uterus
- adnexa
- Fallopian tubes
- ovaries
- broad ligament (mnemonic)
- variant anatomy
- embryology
- blood supply of the abdomen and pelvis
- arteries
-
abdominal aorta
- inferior phrenic artery
- celiac artery
- superior mesenteric artery
- middle suprarenal artery
- renal artery (variant anatomy)
- gonadal artery (ovarian artery | testicular artery)
- inferior mesenteric artery
- lumbar arteries
- median sacral artery
-
common iliac artery
- external iliac artery
-
internal iliac artery (mnemonic)
- anterior division
- umbilical artery
- superior vesical artery
- obturator artery
- vaginal artery
- inferior vesical artery
- uterine artery
- middle rectal artery
-
internal pudendal artery
- inferior rectal artery
-
perineal artery
- posterior scrotal artery
- transverse perineal artery
- artery to the bulb
- deep artery of the penis/clitoris
- dorsal artery of the penis/clitoris
- inferior gluteal artery
- posterior division (mnemonic)
- variant anatomy
- anterior division
-
abdominal aorta
- portal venous system
- veins
- anastomoses
- arterioarterial anastomoses
- portal-systemic venous collateral pathways
- watershed areas
- arteries
- lymphatics
- innervation of the abdomen and pelvis
- thoracic splanchnic nerves
- lumbar plexus
-
sacral plexus
- lumbosacral trunk
- sciatic nerve
- superior gluteal nerve
- inferior gluteal nerve
- nerve to piriformis
- perforating cutaneous nerve
- posterior femoral cutaneous nerve
- parasympathetic pelvic splanchnic nerves
- pudendal nerve
- nerve to quadratus femoris and inferior gemellus muscles
- nerve to internal obturator and superior gemellus muscles
- autonomic ganglia and plexuses