Pancreaticoduodenectomy for an Ampullary Region Carcinoma Occurred in Annular Pancreas Coexistent with Replaced Common Hepatic Artery

Figure 3

Findings of the resected specimen. (a) Cholangiopancreatogram showing cannulation of the resected specimen and injection of urografin from the stump of the main pancreatic duct with the annular duct encircling the descending part of the duodenum and draining at the major papilla (←). (b) Schematic illustration of the pancreatic duct and replaced common hepatic artery, based on the ventral and dorsal pancreas.

(a)

(b)