British Journal of Radiology (2005) 78, 655-658
© 2005 British Institute of Radiology
doi: 10.1259/bjr/79860768
Anomalous pancreaticobiliary junction (APBJ) with the drainage of the uncinate process into the minor papilla: demonstration by MRI
M Basaranoglu, MD
1
N C Balci, MD
2 and
H U Klör, MD
3
1 Department of Internal Medicine, Kadir Has University Hospital, Istanbul, 2 Department of Radiology, Kocaeli University Hospital, Kocaeli, Turkey and 3 Medicine Clinic III, Justus-Liebig-Universität Giessen, Giessen, Germany
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Figure 1. (a) Axial T1 weighted fat suppressed spoiled gradient echo image shows diffusely decreased signal intensity of the pancreas (arrows) before contrast medium and (b) decreased contrast enhancement (arrows). Both findings are consistent with fibrotic chances from passed pancreatitis attacks. (c) Axial T2 weighted image at the level of left liver lobe reveals atrophy of the left liver lobe and curvilinear appearance of the intrahepatic biliary tree in the left liver lobe (small arrows).
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Figure 2. MR cholangiopancreatography reveals a long common channel (long thin arrow), the biliary stricture is marked with a long thick arrow and the uncinate process draining into the minor papilla is marked with small thin arrow. There is an intraductal stone in the dorsal pancreatic duct (thick small arrow).
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Figure 3. (a) Endoscopic retrograde cholangiopancreatography of the patient 13 years ago shows the long common channel (long thin arrow), and the uncinate process draining into the minor papilla (small thick arrow). The benign stricture at the level of hepatic duct bifurcation is also demonstrated (small thin arrow). (b) The abnormalities demonstrated schematically.
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Copyright © 2005 by the British Institute of Radiology.
