Answer for CoW 24 Dec 2017
Meandering MPD
Findings
Main pancreatic duct dilated with multiple small segment narrowing. MPD forms a loop at the region of head of pancreas & communicates with minor duct. The minor duct in turns drains separately into the duodenum via minor papilla. No communication made out between MPD & CBD. Hepatic ducts are normal in calibre. DIAGNOSIS - Chronic pancreatitis with meandering course of MPD – Loop configuration.
Discussion
Meandering MPD, characterized by abnormal configuration of MPD in head region, is a less described variant of MPD. Two types of meandering MPD have been described: loop type, and reverse Z or hairpin type Meandering MPD can be responsible for recurrent episodes of acute pancreatitis. In one study prevalence of meandering MPD in general population was found to be 2.2%, while its prevalence was 40% in cases of recurrent acute pancreatitis. Meandering MPD can be easily diagnosed on coronal projection images of MRCP.
Findings
Main pancreatic duct dilated with multiple small segment narrowing. MPD forms a loop at the region of head of pancreas & communicates with minor duct. The minor duct in turns drains separately into the duodenum via minor papilla. No communication made out between MPD & CBD. Hepatic ducts are normal in calibre. DIAGNOSIS - Chronic pancreatitis with meandering course of MPD – Loop configuration.
Discussion
Meandering MPD, characterized by abnormal configuration of MPD in head region, is a less described variant of MPD. Two types of meandering MPD have been described: loop type, and reverse Z or hairpin type Meandering MPD can be responsible for recurrent episodes of acute pancreatitis. In one study prevalence of meandering MPD in general population was found to be 2.2%, while its prevalence was 40% in cases of recurrent acute pancreatitis. Meandering MPD can be easily diagnosed on coronal projection images of MRCP.
Note:
We do not discourage differential diagnosis. But all the differentials must satisfy the findings noted in the case.
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We do not discourage differential diagnosis. But all the differentials must satisfy the findings noted in the case.
If you feel you have answered rightly but cannot find your name in the above list, please call 09551942599.
Did you Know?
The order in which the names appear in this winner's list is based on the time of submission. The first person to send the correct answer gets his/her name on top of the list!