HTHSCI 2F03 Lecture Notes - Lecture 13: Pancreas Divisum, Splenic Vein, Celiac Plexus
26 Dec 2020
School
Department
Course
Professor
Document Summary
May form in pseudocyst or in pancreas. Splenic a. , gda or colic branches of sma. Collection of pancreatic fluid in the lesser sac surrounded by granulation tissue. Occur in 20% (esp. in etoh pancreatitis) Relieved by sitting back or hot water bottle erythema ab igne. Failure of fusion of dorsal and ventral buds. Bulk of pancreas drains through smaller accessory duct. Fusion of dorsal and ventral buds around duodenum. Insulin + c-peptide + glucose. Hypergastrinaemia hyperchlorhydria pud and chronic diarrhoea (inactivation of pancreatic enzymes) Usually v. malignant tumour c poor prognosis. Typically occur @ confluence of right and left hepatic ducts: called klatskin tumours. Parasite penetrates the portal system and infects the liver calcified cyst. Inflammatory bowel disease: pathology and presentation 47. Colorectal carcinoma: ix, mx and prevention 55. Portion of intestine (the intussusception) is invaginated into its own lumen (the intussuscipiens) 2 ft from ileocaecal valve on antimesenteric border. Tc pertechnecate scan +ve in 70% (detects gastric mucosa)
