EURORAD ESR

Case 9134

Acute pancreatitis in agenesis of dorsal pancreas associated with polysplenia and situs inversus

Author(s)
Calcagni F, Desideri I, Grigolini A, Cappelli C, Bartolozzi C
 
Patient
male, 51 year(s)
 
 
  • Figure 1
    Plain abdominal radiography

    Slight distension of some bowel loops in the midabdomen without subdiaphragmatic free gas or significant gas-fluid levels.

     
    Area of Interest: Abdomen;
     
     
  • Figure 2
    Chest X-ray

    Chest X-ray shows dextrocardia.

     
    Area of Interest: Thorax;
     
     
  • Figure 3
    Contrast-enhanced coronal and sagittal reformatted abdominal CT
     

    Coronal view shows dextrocardia, situs inversus of intestinal bowel loops and polysplenia.

     
    Area of Interest: Abdomen;

    Sagittal view shows dextrocardia, situs inversus of intestinal bowel loops and polysplenia.

     
    Area of Interest: Abdomen;
     
     
  • Figure 4
    Contrast-enhanced abdominal CT

    Abnormal morphology of pancreas: only the head and the uncinate process are identifiable.

     
    Area of Interest: Abdomen;
     
     
  • Figure 5
    Contrast-enhanced abdominal CT
     

    Peripancreatic effusion and fluid thickening of the left anterior renal and lateral conal fascia.

     
    Area of Interest: Abdomen;

    Peripancreatic effusion and fluid thickening of the left anterior renal and lateral conal fascia.

     
    Area of Interest: Abdomen;
     
     
  • Figure 6
    Control contrast-enhanced abdominal CT
     

    After 2 days reduction of peripancreatic effusion and of the fluids.

     
    Area of Interest: Abdomen;

    After 2 days reduction of peripancreatic effusion and of the fluids.

     
    Area of Interest: Abdomen;

    After 2 days reduction of peripancreatic effusion and of the fluids.

     
    Area of Interest: Abdomen;

    After 2 days reduction of peripancreatic effusion and of the fluids.

     
    Area of Interest: Abdomen;
     
     
  • Figure 7
    Coronal 2D MRCP

    Abnormal pancreatic ducts structure: thin main pancreatic duct that presents a kinking of its proximal portion just in front of the papilla.

     
    Area of Interest: Abdomen;
     
     
Slight distension of some bowel loops in the midabdomen without subdiaphragmatic free gas or significant gas-fluid levels.
 
Chest X-ray shows dextrocardia.
 
Coronal view shows dextrocardia, situs inversus of intestinal bowel loops and polysplenia.
 
Sagittal view shows dextrocardia, situs inversus of intestinal bowel loops and polysplenia.
 
Abnormal morphology of pancreas: only the head and the uncinate process are identifiable.
 
Peripancreatic effusion and fluid thickening of the left anterior renal and lateral conal fascia.
 
Peripancreatic effusion and fluid thickening of the left anterior renal and lateral conal fascia.
 
After 2 days reduction of peripancreatic effusion and of the fluids.
 
After 2 days reduction of peripancreatic effusion and of the fluids.
 
After 2 days reduction of peripancreatic effusion and of the fluids.
 
After 2 days reduction of peripancreatic effusion and of the fluids.
 
Abnormal pancreatic ducts structure: thin main pancreatic duct that presents a kinking of its proximal portion just in front of the papilla.
 
 
 
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