Morphohistological Study of a Peculiar and Grooved Pancreas with its Unusual Relation with Stomach and Duodenum

Background Knowledge regarding any variations related to the morphology, relations of the pancreas is imperative for a surgeon operating on this region. Cadaveric observations are considered to be the base for clinical investigations and hence this morphohistological study of the unusual, grooved pancreas with its unique presentation was undertaken in an adult cadaver. Materials and method Abdominal dissection of a male corpse aged about 60 years showing an altered relation of the pancreas with stomach and duodenum was studied grossly and histologically. A sample of pancreatic tissue was processed and stained with Haematoxylin & Eosin and a special Mayers Mucicarmine stains. Results Pylorus of the stomach was structurally adherent to the head of the pancreas. Due to the deep incisura of lesser curvature of the stomach, the body of the pancreas was completely exposed to the anterior abdominal wall. The gastroduodenal junction crossed over the head which resulted in a groove at the neck of the pancreas. Pancreatic parenchyma showed normal histological features with no evidence of ischemia or necrosis. However, vascular congestions were clearly evident probably due to the compression of overlying organs. Conclusion An awareness of these variations may help in surgical planning and prevention of inadvertent injury.


Naveen Kumar, Ashwini Aithal Padur, Swamy Ravindra Shantakumar, Arijit Bishnu, Satheesha Badagabettu Nayak

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