Complete Agenesis of the Dorsal Pancreas Presenting as Uncontrolled Hyperglycaemia: A Case Report

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