Abstract
Annular pancreas is a rare congenital abnormality which arises in the embryo by persistence of pancreatic tissue in the track which the ventral pancreatic bud follows in its rotation round the duodenum. A 21 years old male was admitted because of a non bilious vomiting and epigastric fullness after intake of food. Diagnosis was confirmed with contrast enhanced CT scan of the abdomen. He successfully underwent laparoscopic gastrojejunostomy with uneventful postoperative recovery. Though rare, annular pancreas should be considered as differential diagnosis in patient presenting as gastric outlet obstruction after excluding common causes.Journal of Society of Surgeons of NepalVol. 17, No. 2, 2014, Page: 35-36
Highlights
Annular pancreas (AP) is an uncommon congenital DEQRUPDOLW\,W FRQVLVWV RI D ÀDW EDQG RI SDQFUHDWLF WLVVXH encircling second portion of the duodenum or the extra hepatic bile duct.[1]
Symptoms of annular pancreas usually present at the age of 20-50 years as a duodenal obstruction
The food particles LQJHVWHG ZHUH SUHVHQW DQG LW ZDV GLI¿FXOW WR QHJRWLDWH endoscope beyond pylorus
Summary
Annular pancreas (AP) is an uncommon congenital DEQRUPDOLW\ ,W FRQVLVWV RI D ÀDW EDQG RI SDQFUHDWLF WLVVXH encircling second portion of the duodenum or the extra hepatic bile duct.[1]. Annular pancreas (AP) is an uncommon congenital DEQRUPDOLW\ ,W FRQVLVWV RI D ÀDW EDQG RI SDQFUHDWLF WLVVXH encircling second portion of the duodenum or the extra hepatic bile duct.[1] It may manifest clinically in the neonate (52%) or remain asymptomatic until adulthood (48%).[1] In adults, symptoms of annular pancreas usually present at the age of 20-50 years as a duodenal obstruction. The food particles LQJHVWHG ZHUH SUHVHQW DQG LW ZDV GLI¿FXOW WR QHJRWLDWH endoscope beyond pylorus. Contrast enhanced CT scan of abdomen revealed abnormal pancreatic projections abutting anteromedial and posterior aspect of 2nd part of duodenum with duodenal OXPLQDO FROODSVH )LJXUH 7KHVH ¿QGLQJV ZHUH KLJKO\ suspicious of incomplete annular pancreases.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
