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Dorsal pancreatic agenesis: a case report
Binaya Dhakal1, Sujit Pant2, Saroj Choudhary3
1Nepalgunj Military Hospital, Nepalgunj, Banke.
Annals of Medicine and Surgery (2012)
|June 26, 2023
Summary
Dorsal pancreatic agenesis is a rare congenital anomaly where the dorsal pancreas fails to develop. This condition is often asymptomatic and discovered incidentally through imaging studies.
Area of Science:
- Developmental biology
- Gastroenterology
- Radiology
Background:
- The pancreas develops from ventral and dorsal buds; failure in development leads to agenesis.
- Dorsal pancreatic agenesis is a rare congenital anomaly, with fewer than 100 cases reported.
- It involves the absence of dorsal bud derivatives: pancreas head, body, and tail.
Purpose of the Study:
- To present a case of dorsal pancreatic agenesis diagnosed incidentally.
- To discuss the clinical presentation and diagnostic methods for dorsal pancreatic agenesis.
Main Methods:
- Case presentation of a 50-year-old woman with abdominal pain.
- Diagnosis confirmed via contrast-enhanced computed tomography (CECT).
- Management of concurrent cholelithiasis with laparoscopic cholecystectomy.
Main Results:
- The patient was diagnosed with cholelithiasis and incidental dorsal pancreatic agenesis.
- No other associated anomalies or symptoms were noted.
- The patient underwent successful laparoscopic cholecystectomy.
Conclusions:
- Dorsal pancreatic agenesis is a rare congenital anomaly.
- Diagnosis is typically incidental and confirmed by imaging modalities.
- Most cases are asymptomatic, but associated abnormalities can occur.
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