pancreas Flashcards
length of pancreas
15-20 cm
weight pancreas
75 to 100g
duct fron the dorsal anlage
often absent
accessory duct (santorini)
duct from ventral anlage; opens to 2nd part of duodenum with bile duct
main pancreatic duct (wirsung)
mc congenital anomaly of the pancreas
predispose to acute and chronic pancreatitis
functional obstruction of duct of Santorini
pancreas divisum
2nd part of duodenum surrounded by a rim of pancreatic tissue
common i children with DS
Annular pancreas
acute pancreatitis:
flank ecchymosis
grey turner syndrome
acute pancreatitis:
periumbilical ecchymosis
cullen sign
acute pancreatitis:
ecchymosis of inguinal ligament
fox sign
acute pancreatitis:
bluish discoloration of scrotum
bryan sign
cut off sign
reversed 3 or inverted 3 sign
acute pancreatitis
colonic spasm adjacent to the inflamed pancreas
cut off sign
diagnostic gold standard of acute pancreatitis
abd CT scan
+ interstitial edema
mild pancreatitis
+ necrosis
severe pancreatitis
abnormal extraluminal gas bubbles
pathognomonic of pancreatic infection
standard tx for px with infected necrotizing pancreatitis
open necrosectomy
progressive inflammatory d/o that leads to irreversible destruction of the exocrine and endocrine tissue of the pancreas
chronic pancreatitis
mc cause of chonic pancreatitis
alcohol
tropical calcific and fibrocalculous pancreatic diabetes
tropical pancreatitis
interventional procedure for pancreatic pain
decompression ( endoscopic stenting, puestow procedure)
resection ( whipple frey procedure)
total pancreatectomy
priestly
duodenum preserving pancreatic head resection
Beger
local resection of head w/ pancreaticoduodenostomy
frey and smith
modified LR-LP; SIDE TO SIDE PANCJEJUNO
Hamburg
modified beger
excavation of the cental portion of the head w/o formal division of the pancreatic neck
Berne
mc location of pseudocyst
lesser sac
most useful diagnostic imaging for pseudocyst
CT scan
best tx for pseudocyst
internal drainage
mc malignancy of pancreas
adenocarcinoma
mc site of adenoca of pancreas
head
the only definitive tx of periampullary ca
whipple’s
exhibits whipples triad
insulinoma
what comprises whipples triad
symptomatic fasting hypoglycemia
serum glucose <50mg/dl
relief w/ glucose administration
tx of insulinoma
enucleation
for insulinoma >2cm and close to main pancreatic duct
whipples
WDHA syndrome/ verner morrison syndrome
VIPoma
mc location of VIPoma
tail
most sensitive imaging modality
EUS
tx of VIPoma
debulking as palliative tx
presence of necrolytic migratory erythema
glucagonoma
> 500 pg/ml
metastatic usually
tx of glucagonoma
debulking as palliative tx
2nd most common islet cell tumor
elevated PP as marker
usually malignant
non functioning islet cell tumor
