Article

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

Department of Gastroenterology, Hospital General Universitario de Alicante, Alicante, Spain.
JOP: Journal of the pancreas 02/2006; 7(4):411-6. pp.411-6
Source: PubMed

ABSTRACT 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.
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.
Endoscopic ultrasound may be useful in the diagnosis of agenesis of the dorsal pancreas.

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Keywords

23-year-old woman
 
computed tomography
 
congenital abnormalities
 
distinguishing agenesis
 
dorsal pancreas
 
ductal system
 
endoscopic retrograde cholangiopancreatography
 
Endoscopic ultrasound
 
imaging studies
 
magnetic resonance cholangiopancreatography
 
minimally invasive technique
 
non-conclusive classic imaging studies
 
pancreatic parenchyma
 
resolution images
 
unusual congenital anomaly