Embryology of Pancreas and Small Intestine
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Questions and Answers

During which week does the duodenal loop rotate clockwise with the stomach to the right?

  • 5th week
  • 8th week
  • 4th week
  • 6th week (correct)
  • From which part of the primordial gut does the duodenum develop?

  • Caudal part of foregut (correct)
  • Cranial part of foregut
  • Caudal part of midgut
  • Cranial part of midgut
  • At what point is the junction of the 2 parts of the gut located during the 5th week?

  • Just below or distal to the origin of bile duct (correct)
  • At the level of liver bud
  • Just above or proximal to the origin of bile duct
  • At the level of spleen bud
  • When is the lumen of the duodenum temporarily obliterated due to proliferation of its epithelial cells?

    <p>$8^{th}$ week</p> Signup and view all the answers

    From which embryonic layer does the duodenum develop?

    <p>$Endoderm$</p> Signup and view all the answers

    During which week does the duodenal loop form and project ventrally, forming a C-shaped loop?

    <p>$5^{th}$ week</p> Signup and view all the answers

    Where does the duodenal loop come to lie during weeks 5 and 6?

    <p>$Posterior abdominal wall retroperitoneally$</p> Signup and view all the answers

    What causes temporary obliteration of duodenal lumen at end of week 8?

    <p>Proliferation of endodermal cells</p> Signup and view all the answers

    Where does junction of two parts of gut lie during 5th week?

    <p>Just below or distal to origin of bile duct (C &amp;D)</p> Signup and view all the answers

    When is duodenal loop formed and projected ventrally, forming a C-shaped loop?

    <p>5th week</p> Signup and view all the answers

    Which part of the pancreas does the ventral pancreatic bud form?

    <p>Lower part of the head</p> Signup and view all the answers

    Around which artery does the midgut loop rotate around its axis?

    <p>Superior mesenteric artery</p> Signup and view all the answers

    Which limb of the midgut loop gives rise to the jejunum & ileum?

    <p>The jejunum &amp; ileum</p> Signup and view all the answers

    What is an umbilical hernia?

    <p>Resulting from imperfect closure of the umbilicus</p> Signup and view all the answers

    A small pouch from the ileum.

    <p>Covered by the epithelium of the umbilical cord.</p> Signup and view all the answers

    What direction is the duodenal loop rotated?

    <p>To the right</p> Signup and view all the answers

    From which part is most of the pancreas derived?

    <p>The dorsal pancreatic bud.</p> Signup and view all the answers

    What enlarged organ presses the duodenum & pancreas against the posterior abdominal wall?

    <p>Colon</p> Signup and view all the answers

    How does the midgut loop communicate with the yolk sac?

    <p>Vitelline duct or yolk stalk</p> Signup and view all the answers

    During embryonic development, when does the duodenum normally recanalize?

    <p>End of week 8</p> Signup and view all the answers

    From which buds does the pancreas develop?

    <p>Ventral and dorsal buds</p> Signup and view all the answers

    What structures form the main pancreatic duct and accessory pancreatic duct?

    <p>Ventral bud and dorsal bud, respectively</p> Signup and view all the answers

    At what stage do pancreatic islets develop and start secreting insulin?

    <p>Early fetal period (around 10 weeks)</p> Signup and view all the answers

    From which part of the embryonic gut does the duodenum derive?

    <p>Cranial part of midgut</p> Signup and view all the answers

    When does the midgut return to the abdomen during embryonic development?

    <p>Week 10</p> Signup and view all the answers

    What is Meckel's diverticulum?

    <p>A congenital anomaly where a pouch forms in the wall of the intestine due to failure to return to the abdominal cavity during week 10</p> Signup and view all the answers

    Where are the pancreas and small intestine located in relation to the peritoneum?

    <p>Retroperitoneal structures, located behind the peritoneum</p> Signup and view all the answers

    Study Notes

    • Embryonic period lasts until end of week 8, during which the duodenum normally recanalizes but can lead to congenital anomalies like duodenal stenosis or atresia
    • Pancreas develops from two buds: ventral (forms liver & gallbladder) and dorsal (larger, forms most of pancreas)
    • Pancreatic buds fuse together and move to the dorsal mesentery, forming the main pancreatic duct from the ventral bud and accessory pancreatic duct from the dorsal bud
    • Pancreatic islets develop from parenchymatous pancreatic tissue and secrete insulin during early fetal period (around 10 weeks)
    • Small intestine is developed from the caudal foregut and cranial midgut, with the duodenum deriving from the cranial part of midgut
    • During embryonic development, the midgut forms a U-shaped loop that projects into the umbilical cord due to a temporary lack of space in the abdominal cavity, eventually returning to the abdomen during week 10
    • Congenital anomalies of the pancreas, such as accessory pancreatic tissue, annular pancreas, or Meckel's diverticulum, can result from developmental abnormalities.
    • Meckel's diverticulum is a congenital anomaly where the intestines fail to return to the abdominal cavity during week 10, resulting in the formation of a pouch in the wall of the intestine.
    • The pancreas and small intestine are retroperitoneal structures, meaning they are located behind the peritoneum.
    • The duodenum is the most fixed part of the small intestine and has no mesentery, while the rest of the small intestine is supported by a mesentery that allows for free movement.
    • The mesentery of the small intestine undergoes fixation during development, changing from a continuous mesentery with the ascending colon to a fan-shaped mesentery with a new line of attachment to the posterior abdominal wall.

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    Test your knowledge on the embryological development of the duodenum, pancreas, and small intestine, as well as congenital anomalies related to these structures.

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