CASE REPORT |
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Year : 2020 | Volume
: 6
| Issue : 1 | Page : 57-59 |
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An unusual case of steatorrhea
C Bharath Kumar1, Betty Simon2, Ebby George Simon3
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
 Source of Support: None, Conflict of Interest: None  | Check |
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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