Pancreas and Peritoneal pathology

Question 1

Failure of fetal dorsal and ventral pancreativc ducts to fuse is called this

Answer 1

pancreas divisum

Question 2

Describe the process of acute pancreatitis

Answer 2

ductal obstruction leads to ischemia, acinar cell injury and defective intracelluar transport.
trapped enzymes are activated and lead to inflammation, proteolysis, fat necroiss and hemorrhage

Question 3

What is so severe about hemhorragic necrotizing pancreatitis?

Answer 3

get necrosis of parenchyma and necrosis of fat

Question 4

Autoimmune or cross reaction to a bacterial agent in the pancreas is called this. A mass is formed that mimics cancer.

Answer 4

IgG4 mediated disease, many types including Type 1, mikulicz, kuttners etc.

Question 5

2 big causes for pancreatic pseudocyst

Answer 5

acute pancreatitis and trauma

Question 6

This benign cystic neoplasm contains cuboidal cell surrounded by clear fluid cysts

Answer 6

serous/microcytic cystadenoma

Question 7

Which cysts of the pancreas can be cancerous?

Answer 7

Mucinous and Intraducatal papilary mycinous neoplasm (IPMN)

Question 8

Constrast ductal andenocarcinoma and pancreatic neuroendocrine neoplasm

Answer 8

ductal - head, poorly circumscribed

neruorendocrine - body, tain - well circumscribed

Question 9

Describe the Whipple procedure

Answer 9

removal of gall bladders, bile duct, pyloric spinchter, body of stomach, head of pancreas

Question 10

this type of pancreas cancer is seen in kids under age 10

Answer 10

pancreatoblastoma

Question 11

name a well corcumscribed pancreatic tumor of young women

Answer 11

solid pseudo-papillary tumor

Question 12

Name 4 causes of perionitis

Answer 12

bacterial, bile, foreign material, endometrious

Question 13

number one cause of ascities?

Answer 13

portal hypertenson from cirrhosis