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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).