MENG Xiangling , HE Lei , XU Aman , YANG Wenqi , ZHU Huagang , XIONG Maoming , WANG Zhengguang , GAO Shancheng
  • Department of General Surgery, The First Affiliated Hospital, Anhui University of Medical Science, Hefei 230022, China;
AnatomyPancreatic ductCommon bile ductPancreas
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ObjectiveTo investigate the clinical significance of abnormal confluence of common bile duct (CBD) and pancreatic duct. MethodsFortyfive cases of biliary pancreatic confluence portion of cadavers were dissected and observed with microscope. ResultsThe lower end of CBD inserted normally into the medial posterior portion of descending duodenum with oblique angle (41.4±5.3)° and safeguarded by the sidelong wrinkle formed by mucous membrane of duodenum. In common, pancreatic duct ampulla inserted into CBD with oblique angle (28.5±7.9)° and jointed CBD in the medial wall of dudenum. The length ampulla of Vater was about 0.5-1.5 cm. The Vater’s ampulla was dilated obviously. ConclusionThe result indicates that pancreatic duct and CBD joint with a sharp angle. A number of abnormal anatomic factors may change the relation of oblique angle, and lead to the pancreatitis.

Citation： MENG Xiangling,HE Lei,XU Aman,YANG Wenqi,ZHU Huagang,XIONG Maoming,WANG Zhengguang,GAO Shancheng. The Significance of Abnormal Confluence of Common Bile Duct and Pancreatic Duct. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2003, 10(5): 451-453. doi: Copy