Eur J Anat, 19 (3): 291-293 (2015)

Dorsal pancreas agenesis - a rare case report

Ranjan K. Sahoo, Srikant K. Dhar¹, Pratap Behera²

Department of Radiology, ¹Medicine and ²Gastroenterology, Institute Of Medical Science (IMS) & SUM Hospital, Kalinga Nagar, Ghatikia, Bhubaneswar, Odisha, India

ABSTRACT Dorsal pancreatic agenesis is a rare pancreatic anomaly. We report a 47-year-old female patient who attended the medicine outdoor with complaint of intermittent upper abdominal pain for 6 months of duration. She was not a known diabetic or hypertensive. Mild splenomegaly was detected on abdominal examination. Ultrasonography of abdomen showed cholelithiasis, splenomegaly with dilated portal veins and multiple porto-systemic collateral. The pancreas was not visualized due to bowel gas shadow. Contrast-enhanced computed tomography of the abdomen revealed absent pancreatic body and tail with stomach/small bowels occupying the pancreatic bed anterior to splenic vein along with features of portal hypertension, cholelithiasis, malrotated left kidney and left extrarenal pelvis. Magnetic resonance cholangiopancreatography confirmed nonvisualization of the pancreatic duct except a small remnant of the ventral duct of the pancreas and an absent dorsal part of pancreas. Our case report is a rare combination of dorsal pancreatic bud agenesis with malrotated kidney and extrarenal pelvis.

Keywords: Agenesis, Dorsal bud, Pancreas, Anomaly