Year :
2024
| Month :
May
| Volume :
18
| Issue :
5
| Page :
OD01 - OD03
Full Version
Complete Agenesis of the Dorsal Pancreas Presenting as Uncontrolled Hyperglycaemia: A Case Report
Published: May 1, 2024 | DOI: https://doi.org/10.7860/JCDR/2024/70002.19353
Akshay Kothari, Kiran Shah, Vikram Jadhav, Rameswar Reddy, Dnyaneshwar More
1. Visiting Diabetologist, Department of Diabetes Clinic, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India.
2. Visiting Diabetologist, Department of Diabetes Clinic, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India.
3. Senior Resident, Department of Diabetes Clinic, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India.
4. Senior Resident, Department of Diabetes Clinic, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India.
5. Senior Resident, Department of Diabetes Clinic, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India.
Correspondence Address :
Akshay Kothari,
Bindu Building, Flat No. B4, Second Floor, Tilak Road, Opposite Mangal Dairy Santacruz, West Mumbai-400054, Maharashtra, India.
E-mail: arkothari13@gmail.com
Abstract
Agenesis of the Dorsal Pancreas (ADP) is a rare anatomical manifestation of the pancreas, characterised by the total or partial absence of the dorsal pancreatic regions, body, and tail. The anatomy of the pancreas missing the pancreatic tail is considered partial agenesis, while the absence of the body and tail, with the presence of only the pancreatic head, is considered to be complete dorsal agenesis of the pancreas. Here the authors present the case of 20 years old male patient with uncontrolled blood sugars and recent onset of blurred vision. Diagnostic imaging, including Ultrasonography (USG) and Computed Tomography (CT), revealed the pancreatic head, but the body and tail were not seen. Using CT, the patient’s condition was identified as complete ADP. Treatment involved initiating basal bolus insulin therapy, leading to glycaemic control. The patient also underwent cataract surgery for diabetic-related complications. This case underscores the importance of considering congenital pancreatic anomalies in young adults and highlights the utility of advanced imaging techniques in confirming the diagnosis of agenesis of the dorsal pancreas. Early recognition and intervention are crucial for optimising patient outcomes. Further research is needed to enhance understanding of ADP pathophysiology and develop effective management strategies.
Keywords
Absence of pancreatic regions, Type 3c diabetes, Uncontrolled blood sugars
DOI: 10.7860/JCDR/2024/70002.19353
Date of Submission: Feb 08, 2024
Date of Peer Review: Feb 27, 2024
Date of Acceptance: Apr 02, 2024
Date of Publishing: May 01, 2024
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Feb 08, 2024
• Manual Googling: Mar 27, 2024
• iThenticate Software: Mar 30, 2024 (9%)
ETYMOLOGY: Author Origin
EMENDATIONS: 6
|