Question:medium
Duct most commonly involved in chronic pancreatitis is:
Duct most commonly involved in chronic pancreatitis is:
Show Hint
The primary drainage duct of the pancreas shows characteristic chain-of-lakes dilatation in this condition.
Updated On: Jun 23, 2026
- Main pancreatic duct (Wirsung)
- Accessory pancreatic duct (Santorini)
- Common bile duct
- Ampulla of Vater
Show Solution
The Correct Option is A
Solution and Explanation
Ductal Pathology in Chronic Pancreatitis
Chronic pancreatitis leads to progressive fibrosis and ductal changes predominantly in the main pancreatic duct (duct of Wirsung).
Key imaging finding: "Chain of lakes" or "beaded" appearance on MRCP/ERCP -- alternating dilations and strictures of the main pancreatic duct.
Intraductal changes:
Accessory duct (Santorini) drains the uncinate process and opens at the minor papilla -- it is not primarily affected in chronic pancreatitis.
\[\boxed{\text{Main pancreatic duct (Wirsung) is most commonly involved in chronic pancreatitis}}\]
Chronic pancreatitis leads to progressive fibrosis and ductal changes predominantly in the main pancreatic duct (duct of Wirsung).
Key imaging finding: "Chain of lakes" or "beaded" appearance on MRCP/ERCP -- alternating dilations and strictures of the main pancreatic duct.
Intraductal changes:
- Protein plugs progressing to calcified stones
- Stricture formation
- Ductal hypertension causing ischemic pain
Accessory duct (Santorini) drains the uncinate process and opens at the minor papilla -- it is not primarily affected in chronic pancreatitis.
\[\boxed{\text{Main pancreatic duct (Wirsung) is most commonly involved in chronic pancreatitis}}\]
Was this answer helpful?
0
