Sonoanatomy of the Pancreas

  • Francis S. Weill


The pancreas is situated in the anterior pararenal space which contains the fixed portion of the ascending colon and the descending colon laterally (Meyers 1976). It is separated from the great vessels by the medial portion of Zuckerkandl’s fascia. The pararenal fascia (Zuckerkandl’s fascia, Gerota’s fascia) separates the anterior perirenal space, and therefore the pancreas, from the perirenal space (Figs. 19.1, 19.2). The vessels in the pancreatic region will be reexamined a little later in this chapter; the splenic vessels and the upper portion of the mesenteric vessels also lie in the anterior pararenal space, and the renal vessels are in the perirenal space.


Common Bile Duct Pancreatic Duct Superior Mesenteric Artery Superior Mesenteric Vein Splenic Vein 
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References and Further Reading

  1. Bamett E, Moriey P (1974) Abdominal echography. Butter-worths, LondonGoogle Scholar
  2. Bihr E, Rohmer P, Weill F (1979) Petit atlas d’échoanato-mie normale de l’étage supérieur de l’abdomen, vol 1. Doin, ParisGoogle Scholar
  3. Bolondi L, Gandolfi L, Labo G (1979) Ultrasuoni in gastroenterologia, Piccin, PaduaGoogle Scholar
  4. Bolondi L, Gaiani S, Gullo L, Labò G (1984) Secretin administration induces a dilatation of main pancreatic duct. Dig Dis Sci 29: 802–808PubMedCrossRefGoogle Scholar
  5. Brun A (1979) Les rapports vasculaires de la queue du pancreas. Thesis, BesançonGoogle Scholar
  6. Didier D, Deschamps JP, Rohmer P, Lassegue A, Ottignon Y, Weill F (1983) Evaluation of the pancreatic duct: a reappraisal based on a retrospective correlative study by sonography and pancreatography in 117 normal and pathologic subjects. Ultrasound Med Biol 9: 509–518PubMedCrossRefGoogle Scholar
  7. Eisenscher A, Weill F (1976) Ultrasonographic du canal de Wirsung: Illusion ou possibilité? Note préliminaire, communication to the national colloquium of the SFAUMB, Strasbourg, June 1976Google Scholar
  8. Eisenscher A, Weill F (1979) Ultrasonic visualization of Wirsung’s duct: Dream or reality? J Clin Ultrasound 7: 41–44PubMedCrossRefGoogle Scholar
  9. Goldberg BB, Kotler MN, Ziskin MC, Waxham RD (1975) Diagnostic uses of ultrasound. Grune and Stratton, New YorkGoogle Scholar
  10. Haber K, Freimanis AK, Asher MN (1976) Demonstration and dimensional analysis of the normal pancreas with gray-scale echography. AJR 126: 624–628PubMedGoogle Scholar
  11. Hancke S, Holm HH, Koch F (1975) Ultrasonically guided percutaneous fine needle biopsy of the pancreas. Surg Gynecol Obstet 140: 361–364PubMedGoogle Scholar
  12. Hassani N (1976) Ultrasonography of the abdomen. Springer, Berlin Heidelberg New YorkCrossRefGoogle Scholar
  13. Hemigou A, Plainfosse MC, Chapuis Y, Vaucamps P, Marotel M, Alexande JH, Bouillaud JL (1986) Échographie per-opératoire du pancréas. JBR-BTR 69: 37–42Google Scholar
  14. Johnson ML, Mack LA (1978) Ultrasonic evaluation of the pancreas. Gastrointest Radiol 3: 257–266PubMedCrossRefGoogle Scholar
  15. Kossoff G, Warren P, Garrett W (1978) The examination of the upper abdomen through the liquid filled stomach (abstracts 19–21). 3rd European congress of ultrasonics in medicine, Bologna, Italy, Oct 1–5, 1978Google Scholar
  16. Kunin M (1986) Bridging septa of the perinephric space: anatomic, pathologic, and diagnostic considerations. Radiology 158: 361–365PubMedGoogle Scholar
  17. Laval-Jeantet P, Gardeur P, Taboury J, Monnier JP, Bigot JM (1976) Anatomie échographique du pancréas normal. J Radiol 57: 149–155Google Scholar
  18. Leopold GR, Asher WM (1975) Fundamentals of abdominal and pelvic ultrasonography. Saunders, PhiladelphiaGoogle Scholar
  19. Meyers MA (1976) Dynamic radiology of the abdomen, 1st edn. Springer, Beriin Heidelberg New YorkGoogle Scholar
  20. Pietri H, Sahel J, Boscaini M, Lombard M, Vigreux G, Clément JP, Saries H (1981) Aspects échographiques observés dans trois cas de panréas divisum. J Radiol 62: 639–645PubMedGoogle Scholar
  21. Raptopoulos V, Kleinman PK, Marks S, Snyder M, Silverman PM (1986) Renal fascial pathway: posterior extension of pancreatic effusions within the anterior pararenal space. Radiology 158: 367–374PubMedGoogle Scholar
  22. Rubenstein WA (1985) Posterior peritoneal recesses: assessment using CT. Radiology 156: 461–468PubMedGoogle Scholar
  23. Szebeni A, Tulassay Z, Papp J (1982) The value of ultrasonography in cases of pancreas divisum. Ultrasound Med Biol [Supplì] 8: 188Google Scholar
  24. Taylor TW (1979) Diagnostic ultrasound in gastrointestinal disease. Churchill-Livingstone, Edinburgh Weill F (1978) Vrai et faux canal de Wirsung. Ann Radiol 21/6: 493–494Google Scholar
  25. Weill F, Becker JC, Kraehenbuhl JR, Heriot G, Walter JP (1973) Atlas clinique de radiographie ultrasonore. Masson, ParisGoogle Scholar
  26. Weill F, Aucant D, Bourgoin A, Eisenscher A, Gallinet D (1973) Les repères vasculaires dans l’exploration ultrasonore du pancréas. J Radiol 55: 873–876Google Scholar
  27. Weill F, Aucant D, Bourgoin A, Eisenscher A, Gallinet D (1973) Ultrasonic visualization of abdominal veins (abstract no 103). Second European Congress, Munich. 1975Google Scholar
  28. Weill F, Schraub A, Eisenscher A, Bourgoin A (1977) Ultrasonography of the normal pancreas. Radiology 123: 417–423PubMedGoogle Scholar
  29. Weill F, Bihr E, Zeltner F, Rohmer P, Paronneau P, Lorusso G (1980 a) Etude ultrasonore des dilatations du canal de Wirsung. J Radiol 61/3: 155–160PubMedGoogle Scholar
  30. Weill F, Bmn P, Bartoli J (1980 b) Etude topographique des rapports vasculaires ultrasonores du pancréas. II. Artère et veine rénales gauches. J Radiol 61: 85–87PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1990

Authors and Affiliations

  • Francis S. Weill
    • 1
  1. 1.Chaire de RadiodiagnosticRadiologie A Hôpital Jean MinjozBesançonFrance

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