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REVIEW ARTICLE
Year : 2016  |  Volume : 5  |  Issue : 3  |  Page : 165-168

Reversed Z-shaped anomaly of main pancreatic duct as a cause of recurrent acute pancreatitis: A review


Department of Surgical Gastroenterology, Narayana Medical College and Hospital, Nellore, Andhra Pradesh, India

Correspondence Address:
Amarnath Kadimella
Department of Surgical Gastroenterology, Narayana Medical College and Hospital, Nellore, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2277-8632.191846

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Idiopathic pancreatitis comprises of around 20% cases of acute pancreatitis. We report a case with reversed Z-type main pancreatic duct, a very rare and unusual anomaly of the main pancreatic duct as a cause for idiopathic acute pancreatitis. A review of literature showed it is one of the significant causes for idiopathic recurrent acute pancreatitis. Meandering main pancreatic duct (MMPD) comprises loop type and reversed Z-type main pancreatic ducts. These are found more frequently in idiopathic recurrent acute pancreatitis than in the community.


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