SCORPION-SHAPED PANCREAS TOGETHER WITH AN ARTERIAL VARIATION COMPLEX

There is a range of well-described anatomic variations and developmental anomalies of the pancreas in the literature. Although some of these variations are extremely uncommon, knowledge of these abnormalities is essential for avoiding misdiagnosis and managing pancreatic pathologies clinically. In this paper, we present an anatomical variation observed during thoracoabdominal CT examination of a 33-year-old female. This patient presented with left chest pain and had undergone splenectomy six years ago and left thoracotomy one year ago, both for hydatid cyst. The case showed that the tail of pancreas raised upward and then anteriorly, resembling the tail of a scorpion, and was accompanied by a right hepatic artery that originated from the superior mesenteric artery and a left accessory renal artery. Because no similar case has been reported in the available literature, our opinion is that physicians should also be familiar with scorpion-shaped pancreas that can be termed as ‘pancreas scorpiforme’ anatomically.

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  • Kozu T, Suda K, Toki F. Pancreatic development and anatomical
  • variation. Gastrointest Endosc Clin N Am 1995;5:1–30.
  • Bergman RA, Afifi AK, Miyauchi R. Pancreas. [Internet] Illustrated
  • encyclopedia of human anatomic variation: Opus IV: Organ systems:
  • digestive system and spleen. [Retrieved: 2015 May 15] Available at:
  • http://www.anatomyatlases.org/AnatomicVariants/OrganSystem/T
  • ext/Pancreas.shtml
  • Lal A, Pavunesan SK, Mahalingam H, Garg M, Sinha SK,
  • Khandelwal N. A triad of complete dorsal pancreatic agenesis, pancake
  • kidney and bicornuate uterus. An association or an incidental
  • finding: first case in literature. JOP 2015;16:189–91.
  • Türkvatan A , Erden A, Türko¤lu MA, Yener Ö. Congenital variants
  • and anomalies of the pancreas and pancreatic duct: imaging by magnetic
  • resonance cholangiopancreaticography and multidetector computed
  • tomography. Korean J Radiol 2013:14:905–13.
  • Schulte SJ. Embryology, normal variation, and congenital anomalies
  • of the pancreas. In: Stevenson GW, Freeny PC, Margulis AR,
  • Burhenne HJ, editors. Margulis’ and Burhenne’s alimentary tract
  • radiology. 5th ed. St. Louis (MO): Mosby; 1994. p. 1039–51.
  • Voldsgaard P, Kryger-Baggesen N, Lisse I. Agenesis of pancreas.
  • Acta Paediatr 1994;83:791–3.
  • Levy MJ, Geenen JE. Idiopathic acute recurrent pancreatitis. Am J
  • Gastroentereol 2001;96:2540–55.
  • Morgan DE, Logan K, Baron TH, Koehler RE, Smith JK. Pancreas
  • divisum: implications for diagnostic and therapeutic pancreatography.
  • Am J Roentgenol 1999;173:193–8.
  • White JJ, Roberts ZN, Gest TR, Belae EG. Pancreas divisum: a
  • common developmental variant that deserves attention in preclinical
  • medical education. Clin Anat 2014;27:1038–45.
  • Uygur Bayramiçli O, Dabak R, Kiliçoglu G, Dolapçioglu C, Oztas
  • D. Dorsal pancreatic agenesis. JOP 2007;8:450–2.