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Question

Which of the following are probable sites for Ectopic pancreas ?
1. Submucosa of the stomach and duodenum
2. Liver
3. Small bowel mesentery
4. Splenic hilum
Select the correct answer using the code given below :

The correct answer is
1, 2 and 4

Ectopic Pancreas: Probable Locations

Ectopic pancreas, also known as pancreatic heterotopia, refers to the presence of pancreatic tissue outside its normal anatomical location, lacking any anatomical or vascular connection to the main pancreas. Understanding its potential sites is crucial for diagnosis.

Analysis of Potential Sites

  • 1. Submucosa of the stomach and duodenum: This is the most common location for ectopic pancreatic tissue, frequently found within the wall of the upper gastrointestinal tract.
  • 2. Liver: While less common than gastrointestinal sites, ectopic pancreatic tissue can occasionally be found within the liver parenchyma.
  • 3. Small bowel mesentery: Although ectopic pancreatic tissue can occur throughout the digestive system, the mesentery itself is generally considered a less common or atypical site compared to intramural locations. The provided correct answer excludes this.
  • 4. Splenic hilum: Pancreatic tissue can be found in close proximity to the spleen, including the region of the splenic hilum.

Conclusion on Probable Sites

Based on common clinical findings and the provided options, the most probable sites for ectopic pancreas among the choices are:

  • Submucosa of the stomach and duodenum (Site 1)
  • Liver (Site 2)
  • Splenic hilum (Site 4)

Therefore, the correct combination is 1, 2, and 4.

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Important Questions from Hepatobiliary & Pancreatic Surgery

  1. Which of the statements regarding Calot's triangle are correct?
    1. Common hepatic duct forms the medial boundary of the Calot's triangle
    2. Inferior surface of the right lobe of the liver forms the superior boundary of Calot's triangle
    3. Right hepatic artery is usually found as a content of the Calot's triangle
    4. Cystic duct and medial border of gall bladder forms the lateral border of Calot's triangle
    Select the correct answer using the code given below:
  2. CA 19-9 is a tumour marker used for the diagnosis of:
  3. The Model for End Stage Liver Disease (MELD) score includes which of the following variables ?
    1. Serum bilirubin
    2. Serum albumin
    3. Serum creatinine
    4. International Normalised Ratio (INR)
    Select the correct answer using the code given below :
  4. Which of the following are options for management of a pancreatic pseu- docyst?
    1. Pancreaticoduodenectomy
    2. Cystogastrostomy
    3. Percutaneous drainage
    4. Endoscopic drainage
    Select the correct answer using the code given below :
  5. Which of the following statements regarding hepatic adenomas are correct?
    1. They are almost exclusively seen in females aged 25-50 years
    2. They are associated with use of oral contraceptive pills
    3. They do not have any malignant potential
    4. Majority are detected incidentally on imaging
    Select the correct answer using the code given below :
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