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CASE REPORT
Year : 2020  |  Volume : 6  |  Issue : 1  |  Page : 57-59

An unusual case of steatorrhea


1 Department of Gastroenterology, Pondicherry Institute of Medical Sciences, Ganapathichettikulam, Puducherry, India
2 Department of Radiodiagnosis, Christian Medical College, Vellore, Tamil Nadu, India
3 Department of Gastroenterology, Christian Medical College, Vellore, Tamil Nadu, India

Correspondence Address:
C Bharath Kumar
Department of Gastroenterology, Pondicherry Institute of Medical Sciences, Ganapathichettikulam, Puducherry
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcrsm.jcrsm_4_20

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Partial agenesis of the pancreas is a rare developmental anomaly of the pancreas which can lead to exocrine and endocrine insufficiency. We report a 61-year-old male patient with steatorrhea who was found to have complete agenesis of the dorsal pancreas. He presented with a history of loose stools for 5 years, and the stools were at times oily in nature without mucus or blood. His clinical examination was unremarkable. Seventy-two hour stool fat was increased (21.4 g, normal<18 g) and stool elastase was low (120 μg, normal >200), and computed tomography of the abdomen revealed a normal head and uncinate process of the pancreas, abscence of body and tail of pancreas associated with a nondilated duct system. He was put on pancreatic enzyme supplements and he responded to the treatment, and on follow-up after 6 months, his stool frequency had declined and his fecal elastase had improved.


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