Anomalous pancreaticobiliary junction (APBJ) with the drainage of the uncinate process into the minor papilla: demonstration by MRI

M Basaranoglu; N C Balci; H U Klr
July 2005
British Journal of Radiology;Jul2005, Vol. 78 Issue 931, p655
Academic Journal
We report a case of a 30-year-old patient with anomalous pancreaticobiliary junction (APBJ) that has not been described before. The patient had a clinical history of recurrent attacks of pancreatitis, cholangitis and cholecystitis that were confirmed by abnormal laboratory values. Endoscopic retrograde cholangiopancreatography revealed a 20 mm long junction of choledoc and pancreatic duct, and uncinate process draining into the minor papilla. On MR cholangiopancreatography, strictures at the junction of hepatic duct, increased gallbladder wall thickness and intraductal stone in the pancreatic duct were demonstrated as complementary findings. Other MRI findings included decreased signal intensity of the pancreas consistent with fibrosis from past pancreatitis attacks and atrophy of the left liver lobe.


Related Articles

  • Evaluation of Pancreatic Disease by Endoscopic Ultrasonography. Tenner, Scott M.; Banks, Peter A.; Wiersema, Maurits J.; Van Dam, Jacques // American Journal of Gastroenterology;Jan1997, Vol. 92 Issue 1, p18 

    Presents a clinical review of endoscopic ultrasound (EUS) for the evaluation of patients with pancreatic disease. Types of echoendoscopes that are commercially available; Description of the pancreatic parenchyma in patients with chronic pancreatitis; Application of the EUS in defining...

  • Hemothorax as the Clinical Presentation of a Pancreaticopleural Fistula: Report of a Case. Mohamed Sadok Boudaya; Marco Alifano; Sonia Baccari; Jean-François Regnard // Surgery Today;Jun2007, Vol. 37 Issue 6, p518 

    Abstract  Pancreaticopleural fistula is a rare complication of acute pancreatitis with pancreatic pseudocyst. We report the case of a 39-year-old man admitted for respiratory distress. Chest X-ray showed a pleural effusion, and thoracentesis yielded bloody fluid. Computed tomography (CT)...

  • The Value of Pancreatic Pseudocyst Amylase Concentration in the Detection of Pseudocyst Communication with the Pancreatic Duct. Duvnjak, Marko; Rotkvic, Ivo; Vucelic, Borislav; Sikiric, Predrag; Brkic, Tomislav; Banic, Marko; Troskot, Branko; Supanc, Vladimir // American Journal of Gastroenterology;May1991, Vol. 86 Issue 5, p595 

    The aims of the study were to compare the results of endoscopic retrograde cholangiopancreatography (ERCP) and percutaneous cystopancreatography (PCP) in the detection of the communication between the pancreatic pseudocyst and the pancreatic duct, and to assess the reliability of the increased...

  • Magnetic resonance cholangiopancreatography in primary sclerosing cholangitis in children. Ferrara, Calogero; Valeri, Gianluca; Salvolini, Luca; Giovagnoni, Andrea // Pediatric Radiology;Jun2002, Vol. 32 Issue 6, p413 

    Background: Primary sclerosing cholangitis (PSC) is a chronic cholestatic syndrome of unknown aetiology. Diagnosis is based on clinical and laboratory data in conjunction with imaging of the biliary tree using endoscopic retrograde cholangiopancreatography (ERCP). Objective: To evaluate the...

  • Acute Cholestatic Hepatitis Associated With Pravastatin. Hartleb, Marek; Rymarczyk, Grzegorz; Januszewski, Krzysztof // American Journal of Gastroenterology;May1999, Vol. 94 Issue 5, p1388 

    A 57-yr-old man presented with clinical and laboratory signs of acute cholestatic hepatitis. Symptoms had appeared 7 wk after he was started on pravastatin 20 mg/day for hypercholesterolemia. A full evaluation including ultrasound, computed tomography, endoscopic cholangiography, and liver...

  • Endoscopic Retrograde Cholangiopancreatography Findings of a Gallbladder Filling Defect Caused by Sludge. Barkin, Jamie S.; Fayne, Steven D.; Stolzenberg, Jerry; Sayfie, Eugene // American Journal of Gastroenterology;Mar1987, Vol. 82 Issue 3, p254 

    Ultrasound of the abdomen has described intraluminal gallbladder masses or stones without acoustic shadowing which have been termed "sludge balls." This finding has not been previously reported via its x-ray appearance at endoscopic retrograde cholangiopancreatography. This case reports this...

  • ERCP. Peters, Michael // BMA A-Z Family Medical Encyclopedia;2004, p279 

    An encyclopedia entry for "ERCP" is presented. The abbreviation, which stands for endoscopic retrograde cholangiopancreatography, is an X-ray procedure used for examining the biliary system and the pancreatic duct. The procedure is also used when other imaging techniques, including ultrasound...

  • Erratum to: Management of duodeno-pancreato-biliary perforations after ERCP: outcomes from an Italian tertiary referral center. Alfieri, Sergio; Rosa, Fausto; Cina, Caterina; Tortorelli, Antonio; Tringali, Andrea; Perri, Vincenzo; Bellantone, Chiara; Costamagna, Guido; Doglietto, Giovanni // Surgical Endoscopy;Jun2013, Vol. 27 Issue 6, p2013 

    A correction to the article "Management of Duodeno-Pancreato-Biliary Perforations After ERCP: Outcomes From an Italian Tertiary Referral Center" that was published in the April 19, 2013 issue is presented.

  • Objective evaluation of ERCP procedures: a simple grading scale for evaluating technical difficulty. Ragunath K; Thomas L A; Cheung W Y; Duane P D; Richards D G // Postgraduate Medical Journal;Aug2003, Vol. 79 Issue 934, p467 

    BACKGROUND: and objective: Endoscopic retrograde cholangiopancreatography (ERCP) is a technically demanding endoscopic procedure that varies from a simple diagnostic to a highly complex therapeutic procedure. Simple outcome measures such as success and complication rates do not reflect the...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics