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Copyright ©The Author(s) 2022.
World J Clin Cases. Aug 6, 2022; 10(22): 7642-7652
Published online Aug 6, 2022. doi: 10.12998/wjcc.v10.i22.7642
Figure 1
Figure 1 Pathophysiology of pancreaticobiliary maljunction.
Figure 2
Figure 2 Endoscopic retrograde cholangiopancreatography. Endoscopic retrograde cholangiopancreatography in a patient with pancreaticobiliary maljunction showed a long common channel[22]. Citation: Wang CL, Ding HY, Dai Y, Xie TT, Li YB, Cheng L, Wang B, Tang RH, Nie WX. Magnetic resonance cholangiopancreatography study of pancreaticobiliary maljunction and pancreaticobiliary diseases. World J Gastroenterol 2014; 20: 7005-7010. Copyright © The Authors 2022. Published by Baishideng Publishing Group Inc.
Figure 3
Figure 3 Magnetic resonance cholangiopancreatography. Coronal 4 mm-thick half fourier acquisition single shot turbo spin echo image shows the pancreatic duct joining the common bile duct outside the duodenal wall[24]. Citation: Guo WL, Huang SG, Wang J, Sheng M, Fang L. Imaging findings in 75 pediatric patients with pancreaticobiliary maljunction: a retrospective case study. Pediatr Surg Int 2012; 28: 983-988. Copyright © The Authors 2022. Published by Springer Nature Switzerland AG.
Figure 4
Figure 4 Ultrasound imaging and endoscopic ultrasound. A: Ultrasound showing a thick-walled gallbladder and intraluminal mass (arrow); B: Ultrasound showing intrahepatic bile duct dilation[10]. Citation: Rungsakulkij N, Boonsakan P. Synchronous gallbladder and pancreatic cancer associated with pancreaticobiliary maljunction. World J Gastroenterol 2014; 20: 14500-14504. Copyright © The Authors 2022. Published by Baishideng Publishing Group Inc; C: The confluence of pancreatic duct and bile duct in the proximal portion of the duodenal wall[19]. Citation: Kamisawa T, Takuma K, Itokawa F, Itoi T. Endoscopic diagnosis of pancreaticobiliary maljunction. World J Gastrointest Endosc 2011; 3: 1-5. Copyright © The Authors 2022. Published by Baishideng Publishing Group Inc.
Figure 5
Figure 5 Computed tomography. Coronal images generated from pancreatic phase scanning show that the pancreatic and biliary ducts join within pancreatic parenchyma. Furthermore, these images make it possible to visualize common channel (arrowhead) and ventral pancreatic duct (thin arrows), which is narrow and tortuous. Thick arrows indicate dorsal pancreatic duct[51]. Citation: Itoh S, Fukushima H, Takada A, Suzuki K, Satake H, Ishigaki T. Assessment of anomalous pancreaticobiliary ductal junction with high-resolution multiplanar reformatted images in MDCT. AJR Am J Roentgenol 2006; 187: 668-675. Copyright © The Authors 2022. Published by American Roentgen Ray Society.
Figure 6
Figure 6 Intraoperative cholangiography. Intraoperative cholangiography shows the junction of the bile and pancreatic ducts located outside the duodenal wall. The common bile duct joins the pancreatic duct[24]. Citation: Guo WL, Huang SG, Wang J, Sheng M, Fang L. Imaging findings in 75 pediatric patients with pancreaticobiliary maljunction: a retrospective case study. Pediatr Surg Int 2012; 28: 983-988. Copyright © The Authors 2022. Published by Springer Nature Switzerland AG.