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Role of endoscopic ultrasound in the diagnosis of agenesis of the dorsal pancreas.

AbstractCONTEXT:
Complete agenesis of the dorsal pancreas is an unusual congenital anomaly. Nowadays, the diagnosis is based on four imaging studies: transabdominal ultrasonography, computed tomography, magnetic resonance cholangiopancreatography and, the gold-standard, endoscopic retrograde cholangiopancreatography. Sometimes the ability of these studies are limited to distinguishing agenesis of the dorsal pancreas from other congenital abnormalities. Endoscopic ultrasound is a minimally invasive technique which permits us to obtain high resolution images of the pancreatic parenchyma and ductal system.
CASE REPORT:
We report the case of a 23-year-old woman with recurrent episodes of acute pancreatitis and non-conclusive classic imaging studies. Complete agenesis of the dorsal pancreas was demonstrated by endoscopic ultrasound.
CONCLUSION:
Endoscopic ultrasound may be useful in the diagnosis of agenesis of the dorsal pancreas.
AuthorsLaura Sempere, José Ramón Aparicio, Juan Martínez, Juan Antonio Casellas, Enrique de Madaria, Miguel Pérez-Mateo
JournalJOP : Journal of the pancreas (JOP) Vol. 7 Issue 4 Pg. 411-6 (Jul 10 2006) ISSN: 1590-8577 [Electronic] England
PMID16832139 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
Topics
  • Acute Disease
  • Adult
  • Cholangiopancreatography, Endoscopic Retrograde
  • Cholangiopancreatography, Magnetic Resonance
  • Congenital Abnormalities (diagnostic imaging)
  • Endosonography (methods)
  • Female
  • Humans
  • Pancreas (abnormalities, diagnostic imaging)
  • Pancreatitis (etiology)
  • Tomography, X-Ray Computed

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