Although variation is the rule with pancreatic duct morphology, certain variants occur as a result of altered embroological development. These ductal configurations, most striking deviations from the normal configuration, may be classfied to
alterations
of embryological development. These congenital variants of pancreatic duct may be important for several reason. First, the pseudomass effect of ductal anomalies can be mistaken for carcinoma by the inexperienced radiologists. Second, whether or
not
the
anomaly is important, it is present in many patients with recurrent pacreatitis. Original descriptions were based on small sampling of postmortem studies and surgical specimen, but more recently the advent of endoscopic retrograde
cholangiopancreatography(ERCP) has confirmed of the work of early anastomists and increased awareness of these variants. To evalute of frequency, characteristics of associated disease kand clinical significance of pancreatic anomalies, we have
reviewed
of 5330 case of ERCP fiimes which were undertaken between July, 1973 and August, 1993. Having reviewed of ERCP filmes, we found out 9 case of pancreatic duct variants. Among them, 7 cases were classified as ductal duplication anomalies, 4 cases
of
number variation, most, bifuricaiton and 3 cases of from variation, which were composed of loop, spiral and terminal N. Three cases of fusio anomalies were also noted, which were 2 cases of panceratic divisum and l case of incomplete pancreatic
dlvisum.
The associated diseases were 6 cases of bile duct and galbladder stones and 3 cases of pancreatic cancer. We could not find out the case of congenital anomalies as cause of obstrucive pain and pseudomass effect.
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