MCQ – 88553


A 34-year-old woman comes to the emergency department because of a 2-hour history of abdominal pain, nausea, and vomiting that began an hour after she finished lunch. Examination shows abdominal guarding and rigidity; bowel sounds are reduced. Magnetic resonance cholangiopancreatography shows the dorsal pancreatic duct draining into the minor papilla and a separate smaller duct draining into the major papilla. The spleen is located anterior to the left kidney. A disruption of which of the following embryological processes is the most likely cause of this patient’s imaging findings?

A. Fusion of visceral and parietal peritoneum


Rotation of the midgut


Fusion of the pancreatic buds


Rotation of the ventral splenic bud

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