Ampullary Carcinoma in a Patient with Agenesis of the Dorsal
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Introduction
The most common congenital anomaly of the pancreas is pancreatic divisum. Agenesis of the dorsal pancreas is extremely rare. We are reporting a case of agenesis of the dorsal pancreas presented with ampullary carcinoma.

Case Report
A 42-year-old male patient, with a known case of diabetes mellitus since childhood, presented with painless progressive jaundice, clay-colored stool, and itching for a month. There was no contributory family history. Physical examination revealed jaundice and a palpable gallbladder. Liver function tests showed serum bilirubin of 9 mg/dl and alkaline phosphatase of 360 IU/l. Computed tomography scan of the abdomen revealed resectable periampullary tumor with dilated bile duct and bulky head of the pancreas; the pancreatic duct was not seen. Body and tail of the pancreas was not visualized on the CT scan.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4425740/
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