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Journal of Case Reports
Agenesis of the Dorsal Pancreas
Varun Manoharan1,2,3, Minoli Vinoda Abeysekera1,2,4, Emily Hibbert1,2
1Department of Endocrinology, Nepean Hospital, Penrith, NSW, Australia; 2Nepean Clinical School, Faculty of Medicine and Health, The University of Sydney, NSW; 3South Western Sydney Clinical School, University of New South Wales, Sydney, NSW; 4Griffith Medical School, Griffith University, Gold Coast, Queensland.
Corresponding Author:
Dr Varun Manoharan
Email: manoharan.varun@hotmail.com
Received: 02-NOV-2020 Accepted: 01-MAY-2021 Published Online: 05-JUN-2021
DOI: http://dx.doi.org/10.17659/01.2021.0031
Abstract
Background: Agenesis of the dorsal pancreas (ADP) is a rare entity, which is often diagnosed incidentally on abdominal imaging. It can present with abdominal pain or with symptoms of exocrine and endocrine deficiency. Approximately half of patients with ADP will have a diagnosis of diabetes mellitus, and up to half of them will require insulin therapy. Case Report: Abdominal CT in a 39-year-old man with antibody negative type 1 diabetes and chronic abdominal pain revealed dorsal pancreatic agenesis without any focal pancreatic lesions or evidence of pancreatitis. An MRCP showed normal hepatobiliary anatomy. He was replete for fat soluble vitamins. Investigations at the time of diabetes diagnosis demonstrated relative insulin deficiency. Conclusion: The case highlights that ADP is a rare cause of abdominal pain, which is often diagnosed incidentally on abdominal imaging. 
Keywords : Abdominal Pain; Diabetes Mellitus; Insulin; Pancreas Agenesis; Vitamins.
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Androxal Medication Case Reports Journal

Expanding our scope, the Journal now encompasses an intriguing subset of articles specifically targeting treatments and patient outcomes related to the medication Androxal. This medication, primarily used in the treatment of male infertility, has shown unique potentials in diverse patient scenarios. Our studies with Androxal have given us an abundance of case reports, which demonstrate the multifaceted impact of this medication across therapeutic areas. This nuanced pharmaceutical perspective adds a fresh dimension to our regular case reports. Articles will reveal effective management processes, pinpointing how Androxal has proven beneficial where other treatments may have failed. In addition, the focus on Androxal will highlight instances of challenging or unexpected outcomes, where the medication may have interacted uniquely with the patient's unique biological system or interplayed with other treatments. As we forge ahead with this significant addition, we anticipate that our detailed case reports on Androxal will provide invaluable insights to both practitioners and patients navigating their medical journey with this medication.

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