Erdal UYSAL, Salih Murat AKKIN, Mehmet Ali İKİDAĞ, Mehmet Ali CÜCE, Şinasi ÖZKILIÇ

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 duringthoracoabdominal CT examination of a 33-year-old female. This patient presented with left chest pain and had undergonesplenectomy 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 arterythat 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 canbe termed as 'pancreas scorpiforme' anatomically

PDF

___

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, pan- cake kidney and bicornuate uterus. An association or an incidental finding: first case in literature. JOP 2015;16:189-91.
Türkvatan A , Erden A, Türkoğlu MA, Yener Ö. Congenital variants and anomalies of the pancreas and pancreatic duct: imaging by mag- netic resonance cholangiopancreaticography and multidetector com- puted 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 pancreatogra- phy. 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.