A Rare Case of Dorsal Agenesis of Pancreas, Choledochal Cyst, and Hirschsprung Disease in a Young Patient. Issue 4 (26th April 2021)

• Record Type: Journal Article
• Authors: Chapa, Uday Kumar; Dutta, Souradeep; Remesh, Athul Minija; Jain, Ankit; Abhinaya, Reddy; Nelamangala Ramakrishnaiah, Vishnu Prasad
• Is Part Of: ACG Case Reports Journal. Volume 8:Issue 4(2021)
• Page Start: e00561
• Publication Date: 2021-04-26
• DOI: 10.14309/crj.0000000000000561
• Languages: English
• ISSNs: 2326-3253

Abstract

ABSTRACT: Dorsal pancreatic agenesis is a rare congenital pancreatic malformation. There is just 1 reported case associating it with choledochal cyst. However, no cases have reported yet with both coexisting with Hirschsprung disease. We report a case of a 23-year-old man, presenting with on and off epigastric pain, sometimes radiating to the back. His medical records showed he had Hirschsprung disease as a neonate, for which he underwent Duhamel procedure. Ultrasound imaging revealed a choledochal cyst and a nonvisualized distal portion of the pancreas. Further cross-sectional imaging confirmed the findings—a type 1 choledochal cyst and a dorsal agenesis of the pancreas in a patient with Hirschsprung disease.