MRCEM Notes

Pancreatic embryology

The pancreas is derived from the foregut
  • ventral pancreatic bud → uncinate process, main pancreatic duct + pancreatic head
  • dorsal pancreatic bud → body, tail, accessory pancreatic duct + pancreatic head

Annular pancreas
  • abnormal development resulting in the duodenum being surrounded by a ring of pancreatic tissue
  • due to either a bifid ventral pancreatic bud or failure of the ventral pancreatic duct to fully rotate
  • usually manifests as polyhydramnios and low birth weight

Pancreas divism
  • ventral and dorsal pancreatic ducts fail to fuse together
  • common and usually asymptomatic although may be a risk factor for pancreatitis
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