Dorsal pancreatic agenesis with bowel malrotation and polysplenia

Case contributed by Adam Algazali
Diagnosis almost certain

Presentation

Recurrent mild epigastric pain.

Patient Data

Age: 25 years
Gender: Female

Absent pancreatic body and tail with slightly bulky head in normal position, showing homogeneous enhancement.

Multiple spleens in the left upper quadrant; at least three in number.

The jejunal loops are located on the right side of the peritoneal cavity and the superior mesenteric vein (SMV) runs to the left of the superior mesenteric artery (SMA) (inverse relation).

Preduodenal portal vein. The common hepatic artery is replaced to the SMA.

Case Discussion

The imaging findings are compatible with dorsal pancreatic agenesis associated with polysplenia and bowel malrotation.

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