Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2018 | Month : March | Volume : 12 | Issue : 3 | Page : AD01 - AD02

“Head Over Heels” Position of Duodenum-A Unique Congenital Anomaly

Satheesha B Nayak, Sudarshan Surendran, Prakashchandra Shetty, Surekha D Shetty

1. Professor, Department of Anatomy, Melaka-Manipal Medical College (Manipal Campus), Manipal Academy for Higher Education, Manipal, Karnataka, India. 2. Associate Professor, Department of Anatomy, Melaka-Manipal Medical College (Manipal Campus), Manipal Academy for Higher Education, Manipal, Karnataka, India. 3. Associate Professor, Department of Anatomy, Melaka-Manipal Medical College (Manipal Campus), Manipal Academy for Higher Education, Manipal, Karnataka, India. 4. Assistant Professor, Department of Anatomy, Melaka-Manipal Medical College (Manipal Campus), Manipal Academy for Higher Education, Manipal, Karnataka, India.

Correspondence Address :
Dr. Satheesha B Nayak,
Professor, Department of Anatomy, Melaka Manipal Medical College (Manipal Campus), Manipal Academy for Higher Education,
Madhav Nagar, Manipal, Udupi-576104, Karnataka, India.
E-mail: nayaksathish@gmail.com

Abstract

Knowledge of congenital anomalies of duodenum and biliary apparatus is useful in radiological diagnosis and surgical procedures of upper abdominal region. We present concurrent variations of duodenum, bile duct and coeliac trunk in this report. The first part of the duodenum descended downwards in front of the head of the pancreas. At the lower end of the head of the pancreas, it ascended upwards along the right border of the head of the pancreas until the first lumbar vertebra. At the level of first lumbar vertebra, it continued to the left as its third part. The third and fourth part passes behind the head, neck and the body of the pancreas (and also behind superior mesenteric vessels). On the left side of the second lumbar vertebra, the duodenum continued as jejunum at the duodenojejunal flexure. The common bile duct coursed down in front of the head of the pancreas, being surrounded by a few pancreatic acini in the lower part of its course. It terminated at the hepatopancreatic ampulla, which opened into the first part of the duodenum. The coeliac trunk passed through the body of the pancreas before it divide into its terminal branches.

Keywords

Bile duct, Coeliac trunk, Intestine, Pancreas

How to cite this article :

Satheesha B Nayak, Sudarshan Surendran, Prakashchandra Shetty, Surekha D Shetty. “HEAD OVER HEELS” POSITION OF DUODENUM-A UNIQUE CONGENITAL ANOMALY. Journal of Clinical and Diagnostic Research [serial online] 2018 March [cited: 2018 May 27 ]; 12:AD01-AD02. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2018&month=March&volume=12&issue=3&page=AD01-AD02&id=11229

DOI and Others

DOI: 10.7860/JCDR/2018/34738.11229

Date of Submission: Nov 11, 2017
Date of Peer Review: Jan 24, 2018
Date of Acceptance: Jan 29, 2018
Date of Publishing: Mar 01, 2018

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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