Abstract | RATIONALE: PATIENT CONCERNS: A 51-year-old Chinese man, with a history of impaired fasting glucose, presented with jaundice, pruritus and dark urine. Laboratory analysis showed abnormal liver function and elevated carbohydrate antigen 19-9. DIAGNOSES: Contrast-enhanced computed tomography demonstrated a mass located at the head of pancreas and complete absence of the body and tail of pancreas. Endoscopic retrograde cholangiopancreatography demonstrated an eccentric malignant stricture about 1.6cm of distal common bile duct. INTERVENTIONS: OUTCOMES: A long-term follow-up shows that the patient is asymptomatic with well-controlled diabetes mellitus and pancreatic exocrine insufficiency. LESSONS:
ADP is a quite rare congenital malformation of the pancreas with poorly-understood pathogenesis. The diagnosis of ADP depends on the imaging examination. The therapeutic strategy varies from person to person due to the different accompanying conditions.
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Authors | Lei-Zhou Xia, Xue-Feng Bu, Peng-Cheng Jiang, Feng Yu, Yong-Jun Zhang, Na-Na Meng |
Journal | Medicine
(Medicine (Baltimore))
Vol. 100
Issue 49
Pg. e28137
(Dec 10 2021)
ISSN: 1536-5964 [Electronic] United States |
PMID | 34889276
(Publication Type: Case Reports, Journal Article, Review)
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Copyright | Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. |
Topics |
- Cholangiopancreatography, Endoscopic Retrograde
- Congenital Abnormalities
- Humans
- Male
- Middle Aged
- Pancreas
(abnormalities, diagnostic imaging, surgery)
- Pancreaticoduodenectomy
- Pancreatitis, Chronic
(complications, diagnosis)
- Tomography, X-Ray Computed
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