Abstract
Circumportal pancreas is a rare and previously not well-recognized anatomical variant. In contrast, pancreas divisum is the most frequent anatomical variant in the pancreas. We report a case in which circumportal pancreas was accompanied with pancreas divisum in a deceased donor for islet transplantation. A unique aspect of our case is that the connecting portion behind the portal vein between the pancreas head and body originated from the ventral pancreas. This is the first case report describing a ventral embryogenic origin of the connecting portion of a circumportal pancreas accompanied with pancreas divisum.
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References
Arora A, Velayutham P, Rajesh S, Patidar Y, Mukund A, Bharathy KG (2014) Circumportal pancreas: a clinicoradiological and embryological review. Surg Radiol Anat 36:311–319. https://doi.org/10.1007/s00276-013-1189-y
Harnoss JM, Harnoss JC, Diener MK, Contin P, Ulrich AB, Buchler MW, Schmitz-Winnenthal FH (2014) Portal annular pancreas: a systematic review of a clinical challenge. Pancreas 43:981–986. https://doi.org/10.1097/MPA.0000000000000186
Joseph P, Raju RS, Vyas FL, Eapen A, Sitaram V (2010) Portal annular pancreas. A rare variant and a new classification. JOP 11:453–455
Kawamoto H, Fujikawa T, Tanaka A (2017) Successful resection of pancreatic head cancer in a patient with circumportal pancreas: a case report with technical consideration. Innov Surg Sci 2:33–37. https://doi.org/10.1515/iss-2017-0003
Kin T, Shapiro AM (2009) Circumportal pancreas and islet isolation. Surgery 146:126–127. https://doi.org/10.1016/j.surg.2008.04.017
Kin T, Shapiro AMJ, Lakey JRT (2005) Pancreas divisum: a study of the cadaveric donor pancreas for islet isolation. Pancreas 30:325–327. https://doi.org/10.1097/01.mpa.0000160280.56828.3f
Kin T, Shapiro J (2010) Partial dorsal agenesis accompanied with circumportal pancreas in a donor for islet transplantation. Islets 2:146–148. https://doi.org/10.4161/isl.2.3.11715
Lehman GA, O’Connor KW (1985) Coexistence of annular pancreas and pancreas divisum: ERCP diagnosis. Gastrointest Endosc 31:25–28. https://doi.org/10.1016/S0016-5107(85)71960-8
Luu AM, Braumann C, Herzog T, Janot M, Uhl W, Chromik AM (2017) Circumportal pancreas-a must know pancreatic anomaly for the pancreatic surgeon. J Gastrointest Surg 21:344–351. https://doi.org/10.1007/s11605-016-3315-8
Yilmaz E, Celik A (2018) Circumportal pancreas: prevalence, subtypes and vascular variations of 55 patients. Surg Radiol Anat 40:407–413. https://doi.org/10.1007/s00276-018-1975-7
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RK and BAMG wrote the main body of the manuscript under the supervision of TK. AMJS provided advice on medical aspects and edited the manuscript.
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Kim, R., Marfil-Garza, B.A., Shapiro, A.M.J. et al. Circumportal pancreas accompanied with pancreas divisum in a deceased donor for islet transplantation. Surg Radiol Anat 40, 1323–1325 (2018). https://doi.org/10.1007/s00276-018-2072-7
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DOI: https://doi.org/10.1007/s00276-018-2072-7