Skip to main content
SpringerLink
Log in

Imaging of congenital pancreatic lesions: emphasis on key imaging features

  • Pictorial Essay
  • Published:
Japanese Journal of Radiology Aims and scope Submit manuscript

Abstract

Congenital pancreatic lesions are relatively uncommon, but they are frequently encountered during radiologic examination as an incidental finding in asymptomatic patients. However, some of these entities may produce symptoms such as abdominal pain, nausea, vomiting and gastric outlet obstruction. This article reviews normal pancreatic anatomy, imaging findings of congenital pancreatic lesions, including congenital pancreatic anomalies, congenital pancreatic ductal variants, pancreatic contour variants, congenital pancreatic cysts, and mimics of pancreatic lesions with emphasis on key imaging features.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12

Similar content being viewed by others

References

  1. Heuck A, Maubach PA, Reiser M, et al. Age-related morphology of the normal pancreas on computed tomography. Gastrointest Radiol. 1987;12:18–22.

    Article  CAS  PubMed  Google Scholar 

  2. Androulakis J, Colborn GL, Skandalakis PN, et al. Embryologic and anatomic basis of duodenal surgery. Surg Clin North Am. 2000;80(1):171–99.

    Article  CAS  PubMed  Google Scholar 

  3. Madoff DC, Denys A, Wallace MJ et al. Splenic arterial interventions: anatomy, indications, technical considerations, and potential complications. Radiographics.2005;25 Suppl 1: S191–211.

  4. Nijs E, Callahan MJ, Taylor GA. Disorders of the pediatric pancreas: imaging features. Pediatr Radiol. 2005;35(4):358–73.

    Article  PubMed  Google Scholar 

  5. Fekete F, Noun R, Sauvanet A, Flejou JF, Bernades P, Belhghitis J. Pseudotumor developing in heterotopic pancreas. World J Surg. 1996;20(3):295–8.

    Article  CAS  PubMed  Google Scholar 

  6. Alexander LF. Congenital pancreatic anomalies, variants, and conditions. Radiol Clin North Am. 2012;50:487–98.

    Article  PubMed  Google Scholar 

  7. Low JP, Williams D, Chaganti JR. Polyspenia syndrome with agenesis of the dorsal pancreas and preduodenal portal vein presenting with obstructive jaundice—a case report and literature review. Br J Radiol. 2007;2011(84):e217–20.

    Google Scholar 

  8. Yu J, Turner MA, Fulcher AS, Halvorsen RA. Congenital anomalies and normal variants of the pancreaticobiliary tract and the pancreas in adults. Part 2. Pancreatic duct and pancreas. AJR Am J Roenthenol. 2006;187(6):1544–53.

    Article  Google Scholar 

  9. Manfredi R, Costamagna G, Brizi MG, et al. Pancreas divisum and “Santorinicele”: diagnosis with dynamic MR cholangiopancreatography with secretin stimulation. Radiology. 2000;217:403–8.

    Article  CAS  PubMed  Google Scholar 

  10. Durie PR. Inherited and congenital disorders of the exocrine pancreas. Gastroenterologist. 1996;4(3):169–87.

    CAS  PubMed  Google Scholar 

  11. Yamaguchi S, Koga A, Matsumoto S, Tanaka M, Nakayama F. Anomalous junction of pancreaticobiliary duct without congenital choledochal cyst: a possible risk factor for gallbladder cancer. Am J Gastroenterol. 1987;82:20–4.

    Google Scholar 

  12. Kimura K, Ohto M, Saisho H, et al. Association of gallbladder carcinoma and anomalous pancreaticobiliary ductal union. Gastroenterology. 1985;89:1258–65.

    CAS  PubMed  Google Scholar 

  13. Yamauchi S, Koga A, Matsumoto S, et al. Anomalous junction of pancreaticobiliary duct without congenital choledochal cyst: a possible risk factor for gallbladder cancer. Am J Gatroenterol. 1987;82(1):20–4.

    CAS  Google Scholar 

  14. Itoh S, Ikeda M, Ota T, Satake H, Takai K, Ishigaki T. Assessment of the pancreatic and intrapancreatic bile ducts using 0.5-mm collimation and multiplanar reformatted images in multislice CT. Eur Radiol. 2003;13:277–85.

    PubMed  Google Scholar 

  15. Androulakis J, Colborn GL, Skandalakis PN, et al. Embryologic and anatomic basis of duodenal surgery. Surg Clin North Am. 2000;80(1):171–99.

    Article  CAS  PubMed  Google Scholar 

  16. Sahani DV, Kadavigere R, Saokar A, Fernandez-del Castillo C, Brugge WR, Hahn PF. Cystic pancreatic lesions: a simple imaging-based classification system for guiding management. Radigraphics. 2005;25:1471–84.

    Article  Google Scholar 

  17. Mortele KJ, Mortele B, Silverman SG. CT features of the accessory spleen. AJR Am J Roentgenol. 2004;183(6):1653–7.

    Article  PubMed  Google Scholar 

  18. Kim SH, Lee JM, Han JK, Lee JY, Kang WJ, Jang JY, et al. MDCT and superparamagnetic iron oxide (SPIO)-enhanced MR findings of intrapancreatic accessory spleen in seven patients. Eur Radiol. 2006;16:1887–97.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand

    Sitthipong Srisajjakul & Patcharin Prapaisilp

  2. Department of Internal Medicine, Pathum Thani Hospital, Pathum Thani, Thailand

    Sirikan Bangchokdee

Authors
  1. Sitthipong Srisajjakul
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Patcharin Prapaisilp
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Sirikan Bangchokdee
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sitthipong Srisajjakul.

Ethics declarations

Conflict of Interest

All authors declare that they have no conflict of interest.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Srisajjakul, S., Prapaisilp, P. & Bangchokdee, S. Imaging of congenital pancreatic lesions: emphasis on key imaging features. Jpn J Radiol 33, 525–532 (2015). https://doi.org/10.1007/s11604-015-0458-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11604-015-0458-6

Keywords

Search

Navigation