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PANCREASULUI
5 weeks
6 WEEKS
8 WEEKS
Pancreas divisum
Pancreas inelar
Pancreas ectopic
- 0.6%13.7% of the population
- stomach (26%38% of cases),
duodenum (28%36%), jejunum
(16%), Meckel diverticulum, ileum
- rarely, it occurs in the colon,
esophagus, gallbladder, bile ducts,
liver, spleen, umbilicus, mesentery,
mesocolon, omentum
- usually measures 0.52.0 cm in
its largest dimension (rarely up to 5
cm) and is located in the
submucosa in approximately 50%
of cases
- Ectopic pancreas in the
gastrointestinal tract is usually
asymptomatic
- complications such as stenosis,
ulceration, bleeding, and
intussusception may develop
Agenezia, hipoplazia
- Total agenesis of the pancreas is extremely rare, is incompatible with life and it is associated
with other malformations such as gallbladder aplasia, polysplenia, and fetal growth retardation.
- Hypoplasia (partial agenesis) result from the absence of the ventral or dorsal anlage
- Absence of the dorsal anlage is visualized as a short or truncated pancreas and can be
partial or complete. It may be seen as a solitary finding or in association with heterotaxia
syndromes.
- Partial agenesis of the dorsal pancreas is relatively more common than agenesis of the
ventral portion, but complete agenesis of the dorsal pancreas is extremely rare.
PANCREAS
CEFALIC
aspect anterior
1. pancreaticoduodenala dreapta
superiora,
gastro-epiploica
dreapta,
colica dreapta
superioara
2. fasciile PDP Fredet
supra si
submezocolice,
mezocolonul
transvers
PANCREAS CEFALIC
aspect posterior
1. plan
arterial
(arcadele
duodenopancreatice),
plan ductal
(coledoc,
pancreatic),
plan venos
(VP)
2. fascia
RDP Treitz
dreapta
PANCREAS CEFALIC
aspect posterior
PANCREAS CEFALIC
- Pancreatic head and neck lobulations are defined as outpouchings of the gland more
than 1 cm beyond the anterior superior pancreaticoduodenal artery
- These variations are seen in approximately 34% of individuals upon close examination
- type I (anterior), seen in 10% of individuals;
- type II (posterior), seen in 19%;
- type III (horizontal), seen in 5%
- Another well-recognized pseudomass is a prominence on the anterior surface of the
pancreatic body to the left of the superior mesenteric vessels that abuts the posterior
surface of the lesser omentum. This entity is known as tuber omentale and should be
not misinterpreted as a true pancreatic neoplasm.
Gatul pancreasului
faa anterioar
Gatul pancreasului
faa posterioar
- retroperitoneal
- corespunde
peretelui posterior al
BO
Corpul pancreasului
fa posterioar
Corpul pancreasului
Coada
pancreasului
Coada pancreasului
1. PD sup
(GD)
2. PD inf
(MS)
3. P sup
(splenica)
4. P post
(splenica)
5. P inf
(MS)
- PD sup
(GD)
- PD inf
(VMS)
- vv.
Corpului
(splenica/
trunchi
SM)
Pancreas limfatice
Pancreas limfatice
Pancreas inervaie
Segmentul duodeno-cefalic
Segmentul corporeocaudal
- vascularizatie hepato-mezenterica
superioara (arcadele duodenopancreatice)
- vascularizatie spleno-mezenterica
superioara
- extirpare in bloc
(duodenopancreatectomii cefalice)
- pancreatectomii corporeocaudale
(decolare coloepiploica si patrundere
in BO)