Dorsal pancreatic agenesis

Case contributed by Hein Els
Diagnosis certain

Presentation

Abdominal pain. Distended bowel loops at AXR.

Patient Data

Age: 35 years
Gender: Female
ct

The pancreatic body and tail are absent. The pancreatic head, neck and uncinate process are normal. Hypodense lesion in the liver with a peripheral enhancing nodule, corresponding with an echogenic lesion at a prior ultrasound (not shown). No signs of bowel obstruction. The spleen is normal.

Case Discussion

Characteristic appearance of dorsal pancreatic agenesis. No polysplenia. The liver lesion is most compatible with a cavernous hemangioma.

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