Normal pancreas, CT image
This is a normal abdominal CT scan with contrast enhancement at the L1 level showing the upper abdomen with the liver ( ∗ ), gallbladder ( ♦ ), stomach ( + ) and duodenum ( ◼ ), pancreas ( □ ), colon ( † ), spleen (×), portal vein, inferior vena cava ( ▼ ), right kidney ( ▶ ), left kidney ( ◀ ), and aorta ( ▲ ). The pancreas forms embryologically from dorsal and ventral buds that form from gut outpouchings; these fuse to form the pancreas. Failure of fusion may produce pancreas divisum, with exocrine pancreatic tissue draining into the duodenum through a larger duct of Santorini and a smaller duct of Wirsung that normally forms the papilla of Vater. Much rarer is abnormal fusion of dorsal and ventral buds to form an annular pancreas that encircles the duodenum and can produce bowel obstruction. Pancreatic ectopia in gastrointestinal tract mucosa is common (2% of the population), but it is an incidental finding because the mass of tissue is typically less than 1 cm in diameter.