Search

Congenital cardiac malformations co-existing with gastrointestinal anomalies have been fairly well reported.The authors report autopsy findings in a Nigerian child estimated to be about 3 months old who was born with imperforate anus, rectovaginal fistula, splenopancreatic fusion anomaly, biliary cirrhosis with cholestasis, truncus arteriosus, and ventricular septal defect. To our knowledge, this combination of defects is not common and has not been observed in literature.This case highlights the need to thoroughly investigate a child with gastrointestinal malformations in view of the possible association with multiple cardiac and other system anomalies.

Abstract Background Splenopancreatic fusion is a rare anomaly that is often associated with trisomy 13. Its diagnosis can be important in patients scheduled to undergo distal pancreatectomy or splenectomy, to avoid possible intraoperative or postoperative complications. Case presentation An 82-year-old Japanese man was referred to our hospital for further evaluation and treatment for a solitary hepatocellular carcinoma based on liver cirrhosis. Triple-phase contrast-enhanced multidetector-row computed tomography and magnetic resonance imaging showed a splenopancreatic fusion as well as a solitary hepatocellular carcinoma in segment VIII of his liver. Conclusions Fusion of the pancreatic tail and spleen is a rare and asymptomatic anomaly. Its detection can be improved by the use of multidetector computed tomography or magnetic resonance imaging.