Incidentally detected agenesis of dorsal pancreas on pet/ct: Case report and review of literature

Kabnurkar, Rasika; Rokade, Muktachand L; Bandekar, Kalashree; Kamat, Nikhil

doi:10.4103/0972-3919.198471

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…With the development of medical imaging technology, many ways to diagnose agenesis of the dorsal pancreas have been established, such as CT, magnetic resonance imaging, ultrasound, and EUS. Kabnurkar et al 9 recently reported that features of agenesis of the dorsal pancreas features as shown by positron emission tomography/CT, ERCP, or MRCP are necessary to reveal the major and accessory duct systems. 10 Differential diagnoses of agenesis of the dorsal pancreas include pancreas divisum and pseudo-agenesis.…”

Section: Discussionmentioning

confidence: 99%

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Performance of endoscopic ultrasound for diagnosis of agenesis of the dorsal pancreas: a case report

Zhong

Ying

et al. 2019

J Int Med Res

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Agenesis of the dorsal pancreas is a rare congenital pancreatic malformation. We herein describe a 67-year-old woman with a 5-day history of lower back pain who was eventually diagnosed with agenesis of the dorsal pancreas. Abdominal computed tomography showed an enlarged pancreatic head, but the pancreatic body and tail were invisible. The magnetic resonance imaging findings were similar to the computed tomography findings. Magnetic resonance cholangiopancreatography showed that the major pancreatic duct was mildly dilated but otherwise normal. Endoscopic ultrasound revealed absence of the pancreatic body and tail, an enlarged head of the pancreas, and mild pancreatic duct dilation. The final diagnosis was dorsal pancreatic agenesis.

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Section: Discussionmentioning

confidence: 99%

“…Kabnurkar et al. 9 recently reported that features of agenesis of the dorsal pancreas features as shown by positron emission tomography/CT, ERCP, or MRCP are necessary to reveal the major and accessory duct systems. 10 Differential diagnoses of agenesis of the dorsal pancreas include pancreas divisum and pseudo-agenesis.…”

Section: Discussionmentioning

confidence: 99%

Performance of endoscopic ultrasound for diagnosis of agenesis of the dorsal pancreas: a case report

Zhong

Ying

et al. 2019

J Int Med Res

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Agenesis of the dorsal pancreas presenting with diabetic ketoacidosis – a case report and literature review

et al. 2019

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Background: Agenesis of the dorsal pancreas (ADP) is clinically rare, and it is usually accompanied by abdominal pain. Various disorders of glucose metabolism associating with ADP have been reported, but there are only two studies reporting a correlation between ADP and DKA in English literature. Case presentation: We present a case of a patient with ADP accompanied by abdominal pain and diabetic ketoacidosis as the initial clinical presentation. A 30-year-old man presented with a 3-month history of recurrent onset of persistent mild epigastric pain, which worsen when eating. Laboratory tests revealed metabolic acidosis, hyperglycemia, and ketonuria. Phase contrast CT and MRCP showed the absence of the body and tail of the pancreas, as well as the dorsal pancreatic duct. The C-peptide release test indicated β-cell dysfunction. A combination therapy of insulin, pancreatic enzyme supplements, and mosapride citrate were administrated and the pain gradually resolved. Conclusions: As glucose metabolism disorders can vary across different individuals, we advise clinicians to consider the diagnosis of ADP for a patient who presents with a glucose metabolism disorder accompanied by abdominal pain, pancreatitis or steatorrhea.

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Agenesis of the Dorsal Pancreas: A Rare Cause of Diabetes and Recurrent Upper Abdominal Pain

Lalchandani¹,

Maurya²,

Rizvi³

et al. 2023

Cureus

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Agenesis of the dorsal pancreas is a rare congenital disorder with only a handful of cases described in the literature. It presents a diagnostic dilemma. Cross-sectional imaging is the cornerstone for diagnosis. It could have a syndromic association with polysplenia and cardiac anomalies. Pancreas divisum and chronic pancreatitis may present with similar symptoms and must be ruled out. We present a case of a 55-year-old male with recurrent non-specific abdominal pain and diabetes mellitus. He was managed with insulin and painkillers for symptomatic relief. We also reviewed approximately 68 cases described in the literature to date.

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Incidentally detected agenesis of dorsal pancreas on pet/ct: Case report and review of literature

Cited by 3 publications

References 10 publications

Performance of endoscopic ultrasound for diagnosis of agenesis of the dorsal pancreas: a case report

Performance of endoscopic ultrasound for diagnosis of agenesis of the dorsal pancreas: a case report

Agenesis of the dorsal pancreas presenting with diabetic ketoacidosis – a case report and literature review

Agenesis of the Dorsal Pancreas: A Rare Cause of Diabetes and Recurrent Upper Abdominal Pain

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