A 54-year-old female with a history significant for alcohol abuse, surgical correction of annular pancreas
20 years ago and chronic pancreatitis presented to a rural emergency department with a 1-week history of worsening severe epigastric pain, nausea and vomiting.
Gastrointestinal system anomalies were grouped as EA/TEF, ARM, atresias involving stomach, ileum or colon, diaphragmatic hernia, abdominal wall defects, rotation defects, and annular pancreas
These rare lesions may coexist with other anatomic abnormalities such as choledochocele, annular pancreas
, or polysplenia syndrome.
Some of these entities, including Meckel's diverticulum, malrotation, and annular pancreas
, are detailed below, along with their complications and associated MDCT findings.
There is a 40% incidence of coexistant anatomical abnormalities: choledochocele, annular pancreas
, double diverticula, intestinal malrotation, imperforate anus, Hirschsprung's disease, congenital heart diseases, omphalocele, hypoplastic kidneys, bladder exstrophy, situs inversus, Ladd's bands, portal vein anomalies, polysplenia and Down syndrome (6,7).