{"id":3165,"date":"2026-06-05T01:29:48","date_gmt":"2026-06-05T01:29:48","guid":{"rendered":"https:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=3165"},"modified":"2026-06-05T01:30:20","modified_gmt":"2026-06-05T01:30:20","slug":"ijar-2026-114","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2026-114","title":{"rendered":"IJAR.2026.114"},"content":{"rendered":"<div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijar.14.2\/IJAR.2026.114.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/ijmhr.org\/ijar-vol-14-2.htm\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong> \u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 14; Issue 2 (June<\/strong><strong>\u00a02026)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong> 9490-9495<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2026.114<\/h3>\n<h3 style=\"text-align: justify;\">Morphology of the Hepatopancreatic Ampulla by the Injection-Radioscopy Method: Anatomical Study and Clinical Applications about 30 Cases<\/h3>\n<p><strong>Ndiaye M *<sup>1<\/sup>, Ndoye N J-M *<sup>2<\/sup>, Ndiaye A\u00ef <sup>2<\/sup>, Thiam I <sup>3<\/sup>, Dial Cmm <sup>4<\/sup>, Kasse M <sup>5<\/sup>, Deme H <sup>6<\/sup>, Ndiaye Ab <sup>2<\/sup>.<\/strong><\/p>\n<p style=\"text-align: justify;\"><sup>*1 <\/sup>Anatomy and Organogenesis Laboratory of the Assane Seck University of Ziguinchor (UASZ). <strong>ORCiD\u00a0:<\/strong> 0009-0007-6826-8002<\/p>\n<p><sup>2 <\/sup>Anatomy and Organogenesis Laboratory of the Cheikh Anta Diop University of Dakar (UCAD) ;<\/p>\n<p><sup>3 <\/sup>Pathological Anatomy and Cytology Laboratory of the Aristide Le Dantec Hospital (HALD);<\/p>\n<p><sup>4 <\/sup>Pathological Anatomy and Cytology Laboratory of the Idrissa Pouye General Hospital (HOGIP);<\/p>\n<p><sup>5 <\/sup>Medical Imaging Service of the HOGIP;<\/p>\n<p><sup>6 <\/sup>HALD Medical Imaging Service.<\/p>\n<p style=\"text-align: justify;\"><strong>Corresponding Author:<\/strong> Dr. Mamadou Ndiaye, Teacher-researcher, Laboratory of Anatomy and Organogenesis\/Assane Seck University of Ziguinchor-Senegal; Phone: 00221772645481, <strong>E-Mail:<\/strong> mamadou.ndiaye@univ-zig.sn<\/p>\n<p><strong>ABSTRACT<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Objective<\/strong>: the purpose of our work was to study the configuration of the hepato-pancreatic junction and to review the literature.<\/p>\n<p style=\"text-align: justify;\"><strong>Material and method<\/strong>: It was a fundamental observational study for descriptive purposes. It was about 30 pieces of fresh pancreas taken from anatomical subjects during forensic autopsy. The average age was 39.43 years. The cephalo-isthmic configuration of the pancreatic ducts was studied by the injection-radioscopy method. The mode of constitution of the hepatopancreatic (AHP) was evaluated based on the Flati classification [1]. The parameters studied were morphological and morphometric.<\/p>\n<p style=\"text-align: justify;\"><strong>Results<\/strong>: in 18 cases (60%), there was a &#8220;Ya&#8221; type with an average length of 5.4mm of the AHP and an average diameter of 1.6mm. In 1 case (3.3%), we observed a &#8220;Yb&#8221; type with a length of 12mm of the AHP and a diameter of 1.9mm. In 2 cases (6.7%), the AHP had the shape of a &#8220;V&#8221; with an average length of 0.95mm of the AHP and an average diameter of 0.7mm. In 8 cases (26.7%), the AHP had the shape of a &#8220;U&#8221;. In 1 case (3.3%), the AHP had the form of an &#8220;II&#8221;.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion<\/strong>: The anatomical study of the AHP in the population is interesting in the sense that it makes it possible to identify or estimate the groups at risk regarding the occurrence of certain pathologies of the bilio-pancreatic pathways.<\/p>\n<p style=\"text-align: justify;\"><strong>Keywords<\/strong>: Pancreatic Ducts, Hepato-Pancreatic Ampoule, Injection-Radioscopy, Flati Classification.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<p style=\"text-align: justify;\">[1]. Flati G, Flati D, Porowska B, Ventura T, Catarei M, Carboni M. Surgical anatomy of the papilla of Vater and bilio-pancreatic ducts. Am Surg 1994;60:712-18.<br \/>[2]. Dimitriou I, Katsourakis A, Nikolaidou E, Noussios G. The Main Anatomical Variations of the Pancreatic Duct System: Review of the Literature and Its Importance in Surgical Practice. Journal of Clinical Medicine Research. 2018;10:370-75<br \/>https:\/\/doi.org\/10.14740\/jocmr3344w<br \/>PMid:29581798 PMCid:PMC5862083<br \/>[3]. Adibelli ZH, Adatepe M, Isayeva L, Esen OS, Yildirim M. Pancreas divisum: a risk factor for pancreaticobiliary tumors &#8211; an analysis of 1628 MR cholangiography examinations. Diagn Interv Imaging 2017;98:141-47.<br \/>https:\/\/doi.org\/10.1016\/j.diii.2016.08.004<br \/>PMid:27616039<br \/>[4]. Echchikhi M, Edderai M, Saouab R, Ennouali H, Boumedine H, Radouane B et al. Mise au point sur les variantes anatomiques des voies biliaires extra-h\u00e9patiques en cholangio-pancr\u00e9ato-IRM et leurs risques de complications. JIDI 2021;4:307-16<br \/>https:\/\/doi.org\/10.1016\/j.jidi.2020.11.009<br \/>[5]. Ojo AS. Pancreatic Duct Variations and the Risk of Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis. Cureus 2020 ;12(9):e10445<br \/>https:\/\/doi.org\/10.7759\/cureus.10445<br \/>[6]. 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Am J Roentgenol Radium Ther Nucl Med 1975 Feb ; 123(2) : 359-66<br \/>https:\/\/doi.org\/10.2214\/ajr.123.2.359<br \/>PMid:1115312<br \/>[10]. Sigfusson BF, Wehlin L, Lundstr\u00f6m CG. Variant of pancreatic duct system of importance in endoscopic retrograde cholangiopancreatography observations on autopsy specimen. Acta Radiol Diagn (Stockholm)1983; 24(2):113-28<br \/>https:\/\/doi.org\/10.1177\/028418518302400204<br \/>PMid:6624513<br \/>[11]. Baldwin WM. The pancreatic ducts in man, together with a study of the microscopical structure of the minor duodenal papilla. Anat Rec 1911;5:197-228. <br \/>https:\/\/doi.org\/10.1002\/ar.1090050502<br \/>[12]. Millbourn E. On the excretory ducts of the pancreas in man, with special reference to their relations to each other, to the common bile duct and to the duodenum. Acta anat. 1950 ;9:1-33.<br \/>https:\/\/doi.org\/10.1159\/000140426<br \/>PMid:15403861<br \/>[13]. Skandalakis LJ, Rowe Jr J, Gray S, Skandalakis J. Surgical embryology and anatomy of the pancreas. Surg Clin North Am 1993;73(4): 661-97.<br \/>https:\/\/doi.org\/10.1016\/S0039-6109(16)46080-9<br \/>https:\/\/doi.org\/10.1016\/S0039-6109(16)46083-4<br \/>[14]. Wilasrusmee C, Pongchairerks P. Panreaticobiliary ductal anatomy in thai people. J Hepatobiliary. Pancreat Surg 1999 ; 1: 79-85.<br \/>https:\/\/doi.org\/10.1007\/s005340050087<br \/>PMid:10436241<br \/>[15]. Schweitzer P, Schweitzer M. Pancreaticobiliary long common channel syndrome and congenital anomalous dilatation of the choledochal duct: study of 46 patients. Eur J Pediatr Surg. 1993;3(1):15-21.<br \/>https:\/\/doi.org\/10.1055\/s-2008-1063500<br \/>PMid:8466869<br \/>[16]. Azahouani A, Zaari N, Aissaoui FE, Hida M, Fitri M, Benradi L, et al. Cyst of the broken common bile duct: literature review. Pan Afr Med J 2019; 30;33:276. https:\/\/doi.org\/10.11604\/pamj.2019.33.276.14372<br \/>PMid:31692842 PMCid:PMC6815484<br \/>[17]. Komi N, Takehara H, Kunitomo K, Miyoshi Y, Yagi T. Does the type of anomalous arrangement of pancreaticobiliary ducts influence the surgery and prognosis of choledochal cyst. J. Pediatr Surg 1992 ; 27 : 728-31.<br \/>https:\/\/doi.org\/10.1016\/S0022-3468(05)80102-2<br \/>PMid:1306647<br \/>[18]. Matsubayashi H, Matsui T, Sugiura T, Makuuchi R, Kaneko J, Satoh J et al. A Large Carcinosarcoma of the Gallbladder Accompanied by Pancreaticobiliary Maljunction: A Case with a Six-year Survival. Intern Med 2019; 58(19):2809-817.<br \/>https:\/\/doi.org\/10.2169\/internalmedicine.2783-19<br \/>PMid:31243200 PMCid:PMC6815897<br \/>[19]. Arnaud JP, Graf P, Gramfort JL, et al. Primary carcinoma of the gallbladder: review of 25 cases. Am J Surg 1979 ; 138 : 403-06<br \/>https:\/\/doi.org\/10.1016\/0002-9610(79)90272-1<br \/>PMid:474877<br \/>[20]. Kamisawa T, Takuma K, Tabata T, Egawa N. Clinical implications of accessory pancreatic duct. World J Gastroenterol 2010;16:4499-503<br \/>https:\/\/doi.org\/10.3748\/wjg.v16.i36.4499<br \/>PMid:20857518 PMCid:PMC2945479<br \/>[21]. Thomas RK, Timothy RC. Carcinoma of the gallbladder. Am J Surg 1982 ; 143:737-41<br \/>https:\/\/doi.org\/10.1016\/0002-9610(82)90049-6<br \/>PMid:7091509<br \/>[22]. Berman LG, Prior JT, Abramow SM, Ziegler DD. A study of the pancreatic duct system in man by the use of vinyl acetate casts of postmortem preparations. Surg Gynecol Obstet 1960;110:391-403<br \/>[23]. Dawson W, Langman J. An anatomical-radiological study on the pancreatic duct pattern in man. Anat Rec 1961 ; 139 : 59-68<br \/>https:\/\/doi.org\/10.1002\/ar.1091390109<br \/>PMid:14025604<br \/>[24]. Jirasiritham J, Wilasrusmee C, Poprom N, Larbcharoensub N. Pancreaticobiliary Ductal Anatomy in the Normal Population. Asian Pac J Cancer Prev 2016;17(9):4363-365<br \/>https:\/\/doi.org\/10.1016\/j.pan.2017.07.034<\/p>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #6b0e00 #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #800000;\"><strong>Cite this article:<\/strong><\/span> Ndiaye M, Ndoye N J-M, Ndiaye A\u00ef, Thiam I, Dial Cmm, Kasse M, Deme H, Ndiaye Ab. Morphology of the Hepatopancreatic Ampulla by the Injection-Radioscopy Method: Anatomical Study and Clinical Applications about 30 Cases. Int J Anat Res 2026;14(2):9490-9495. <strong>DOI:\u00a0<\/strong>10.16965\/ijar.2026.114\u00a0 \n             <\/div>\t\n\t\t\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of Article: \u00a0Original Research Volume 14; Issue 2 (June\u00a02026) Page No.: 9490-9495 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2026.114 Morphology of the Hepatopancreatic Ampulla by the Injection-Radioscopy Method: Anatomical Study and Clinical Applications about 30 Cases Ndiaye M *1, Ndoye N J-M *2, Ndiaye A\u00ef 2, Thiam I 3, Dial Cmm 4, Kasse M 5, Deme H 6, Ndiaye Ab<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2026-114\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/3165"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/comments?post=3165"}],"version-history":[{"count":2,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/3165\/revisions"}],"predecessor-version":[{"id":3169,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/3165\/revisions\/3169"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=3165"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}