EURORAD ESR

Case 13671

Partial agenesis of the pancreas with superimposed chronic pancreatitis

Author(s)
Vella Adriana, MD; Minorati Davide, MD; Tonolini Massimo, MD.

"Luigi Sacco" University Hospital,
Radiology Department;
Via G.B. Grassi 74
20157 Milan, Italy;
Email:mtonolini@sirm.org
 
Patient
female, 58 year(s)
 
 
  • Figure 1
    Unenhanced and portal venous phase post-contrast multidetector CT
     

    Unenhanced images (a, detail b) showed truncated pancreas (arrowheads) at transition between neck and body; pancreatic head containing tiny calcifications, a demarcated 2-cm hypodense ovoid lesion (arrow) at the...

     
    Area of Interest: Pancreas; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Unenhanced images (a, detail b) showed truncated pancreas (arrowheads) at transition between neck and body; pancreatic head containing tiny calcifications.

     
    Area of Interest: Pancreas; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Corresponding portal venous phase enhanced images (c, detail d) confirmed rounded, truncated pancreas (arrowhead) at transition between neck and body; tiny pancreatic calcifications; a non-enhancing demarcated 2-cm...

     
    Area of Interest: Pancreas; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Corresponding portal venous phase enhanced images (c, detail d) confirmed rounded, truncated pancreas (arrowhead) at transition between neck and body; tiny pancreatic calcifications; a non-enhancing demarcated 2-cm...

     
    Area of Interest: Pancreas; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Coronal contrast-enhanced image confirmed pancreatic head with tiny pancreatic calcifications; a ductal structure (thin arrow), a non-enhancing demarcated 2-cm ovoid lesion (arrow) at the uncinate process. Note absent...

     
    Area of Interest: Pancreas; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Cranial axial image confirmed absent pancreatic body and tail; patent dilated splenic vein (*).

     
    Area of Interest: Pancreas; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 2
    Unenhanced MRI and MR-cholangiopancreatography (MRCP)
     

    Axial T2-weighted image confirmed absent pancreatic body and tail in their normal anatomic location adjacent to the splenic vein (*).

     
    Area of Interest: Pancreas; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Axial (b), coronal (c) T2- and axial T1-weighted (d) images confirmed inhomogeneous pancreatic head with two cystic lesions (arrows), the largest measuring 2 cm in the uncinate process.

     
    Area of Interest: Pancreas; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Coronal (c) T2- and axial T1-weighted (d) images confirmed inhomogeneous pancreatic head with two cystic lesions (arrows), the largest measuring 2 cm in the uncinate process. Note absent pancreatic body and tail,...

     
    Area of Interest: Pancreas; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Axial T1-weighted image confirmed truncated pancreas (arrowhead) at transition between neck and body, absent pancreatic body and tail.

     
    Area of Interest: Pancreas; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;

    MRCP (e, f) confirmed two cystic pancreatic lesions (arrows), the largest in the uncinate process, and visualized a normal-calibre pancreatic duct (thin arrows) draining into the Vaterian ampulla. Normal biliary tract.

     
    Area of Interest: Pancreas; Imaging Technique: MR-Functional imaging; Procedure: Diagnostic procedure; Special Focus: Congenital;

    MRCP (e, f) confirmed two cystic pancreatic lesions (arrows), the largest in the uncinate process, and visualized a normal-calibre pancreatic duct (thin arrows) draining into the Vaterian ampulla. Normal biliary tract.

     
    Area of Interest: Pancreas; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
Unenhanced images (a, detail b) showed truncated pancreas (arrowheads) at transition between neck and body; pancreatic head containing tiny calcifications, a demarcated 2-cm hypodense ovoid lesion (arrow) at the uncinate process.
 
Unenhanced images (a, detail b) showed truncated pancreas (arrowheads) at transition between neck and body; pancreatic head containing tiny calcifications.
 
Corresponding portal venous phase enhanced images (c, detail d) confirmed rounded, truncated pancreas (arrowhead) at transition between neck and body; tiny pancreatic calcifications; a non-enhancing demarcated 2-cm ovoid lesion (arrow) at the uncinate process.
 
Corresponding portal venous phase enhanced images (c, detail d) confirmed rounded, truncated pancreas (arrowhead) at transition between neck and body; tiny pancreatic calcifications; a non-enhancing demarcated 2-cm ovoid lesion (arrow) at the uncinate process.
 
Coronal contrast-enhanced image confirmed pancreatic head with tiny pancreatic calcifications; a ductal structure (thin arrow), a non-enhancing demarcated 2-cm ovoid lesion (arrow) at the uncinate process. Note absent pancreatic body and tail, dilated splenic vein (*).
 
Cranial axial image confirmed absent pancreatic body and tail; patent dilated splenic vein (*).
 
Axial T2-weighted image confirmed absent pancreatic body and tail in their normal anatomic location adjacent to the splenic vein (*).
 
Axial (b), coronal (c) T2- and axial T1-weighted (d) images confirmed inhomogeneous pancreatic head with two cystic lesions (arrows), the largest measuring 2 cm in the uncinate process.
 
Coronal (c) T2- and axial T1-weighted (d) images confirmed inhomogeneous pancreatic head with two cystic lesions (arrows), the largest measuring 2 cm in the uncinate process. Note absent pancreatic body and tail, splenic vein (*).
 
Axial T1-weighted image confirmed truncated pancreas (arrowhead) at transition between neck and body, absent pancreatic body and tail.
 
MRCP (e, f) confirmed two cystic pancreatic lesions (arrows), the largest in the uncinate process, and visualized a normal-calibre pancreatic duct (thin arrows) draining into the Vaterian ampulla. Normal biliary tract.
 
MRCP (e, f) confirmed two cystic pancreatic lesions (arrows), the largest in the uncinate process, and visualized a normal-calibre pancreatic duct (thin arrows) draining into the Vaterian ampulla. Normal biliary tract.
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version