Diabetes mellitus due to agenesis of the dorsal pancreas in a patient with heterotaxy syndrome.

Ann Pediatr Endocrinol Metab

Department of Pediatrics, Severance Children's Hospital, Endocrine Research Institute, Yonsei University College of Medicine, Seoul, Korea.

Published: June 2017

AI Article Synopsis

  • Heterotaxy syndrome (HS) is a congenital disorder characterized by the abnormal placement of internal organs, often associated with cardiovascular and digestive system defects.
  • A case study discusses a 13-year-old girl who developed diabetes mellitus due to dorsal pancreatic agenesis, along with HS manifesting as a double-outlet right ventricle, pulmonary stenosis, and intestinal malrotation.
  • The girl's condition was effectively managed with timely diagnosis and insulin treatment, leading to improved blood sugar control.

Article Abstract

Heterotaxy syndrome (HS) is a congenital disorder resulting from an abnormal arrangement of visceral organs across the normal left-right axis in the embryonic period. HS is usually associated with multiple anomalies, including defects of the major cardiovascular system and the extracardiovascular system such as intestinal malrotation, abnormal lung lobulation, bronchus anomalies, and pancreatic dysplasia. Although pancreatic dysplasia is occasionally accompanied with HS, the occurrence of diabetes mellitus (DM) due to pancreatic dysplasia in HS is rarely reported. We here report a case involving 13-year-old girl with DM caused by agenesis of the dorsal pancreas and HS diagnosed on the basis of the presence of a double-outlet right ventricle with bilateral pulmonary stenosis and intestinal malrotation with duodenal cyst. Timely diagnosis and treatment with insulin improved glycemic control.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5495979PMC
http://dx.doi.org/10.6065/apem.2017.22.2.125DOI Listing

Publication Analysis

Top Keywords

pancreatic dysplasia
12
diabetes mellitus
8
agenesis dorsal
8
dorsal pancreas
8
heterotaxy syndrome
8
intestinal malrotation
8
mellitus agenesis
4
pancreas patient
4
patient heterotaxy
4
syndrome heterotaxy
4

Similar Publications

Background/objectives: Positive pancreatic juice cytology (PJC) is an important finding when considering surgical resection in patients with intraductal papillary mucinous neoplasm (IPMN); however, guidelines do not recommend endoscopic retrograde cholangiopancreatography (ERCP) for PJC. This study aimed to clarify the findings worthy of adding PJC for diagnosing high-grade dysplasia (HGD) and invasive carcinoma (IC) in patients with IPMN.

Methods: Patients with IPMN who underwent preoperative PJC and surgical resection at Hiroshima University Hospital were enrolled, and the diagnostic yield of malignant IPMN based on PJC and clinical and imaging findings and the incidence of post-ERCP pancreatitis (PEP) were retrospectively analyzed.

View Article and Find Full Text PDF

The purpose of this review was to analyze the most perspective methods for risk stratification of malignant transformation of pancreatic intraductal papillary mucinous neoplasms (IPMN). Advisability of humoral predictors (tumor markers, inflammatory markers, circulating leptin and branched-chain amino acids, etc.) is in identifying prognostic signs suitable for risk stratification of IPMN malignant transformation and, therefore, determining treatment strategy for a particular patient.

View Article and Find Full Text PDF

Surgical resection for ampullary lesions lacks clear guidelines. Pancreaticoduodenectomy (PD) is the standard treatment for malignant ampullary tumors but is often excessive for ampullary adenomas (AAs) due to its high morbidity and mortality. Transduodenal ampullectomy (TDA) is generally reserved for small benign lesions where endoscopic treatment fails, but its role in early ampullary cancers is debatable.

View Article and Find Full Text PDF

Background: Intraductal papillary mucinous tumour (IPMN) of pancreas is increasingly recognized to have malignant potential. Fukuoka guidelines are commonly used to select patients with IPMN for resection due to high chance of malignancy, which includes high-grade dysplasia (HGD) or invasive carcinoma (IC).

Methods: A retrospective study on consecutive patients who have undergone pancreatectomy with IPMN as the final pathology was performed.

View Article and Find Full Text PDF

A Curious Case of Multimorbidity in a Patient With Goldenhar Syndrome Presenting With Vomiting.

Cureus

October 2024

Internal Medicine, Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, USA.

Goldenhar syndrome, also known as oculo-auriculo-vertebral dysplasia or hemifacial microsomia, is a rare congenital anomaly involving the first and second branchial arches. In this case report, we present a distinctive instance of a 43-year-old male with Goldenhar syndrome who presented with nausea and recurrent bilious vomiting. Initial diagnostic imaging raised concerns about pancreatitis, leading to a comprehensive evaluation that revealed gallstone pancreatitis as the cause of his symptoms.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!