A rare case of annular pancreas - its diagnostic and treatment challenges
Journal Title: Stanley Medical Journal - Year 2017, Vol 4, Issue 2
Abstract
Annular pancreas is a rare congenital anomaly of the pancreatic ducts. This malformation in adults is usually asymptomatic, but can manifests as pancreatitis, duodenal stenosis, or duodenal or gastric ulceration. Its variable presentations have made the diagnosis and management challenging. We hereby discuss our experience with a case due the rarity of this congenital abnormality and its successful management. A 70 year-old male presenting with history of vomiting and weight loss . General physical examination was essentially normal. Abdominal examination did not reveal any mass or any organomegaly. Ultrasonography of the abdomen was normal. Upper gastrointestinal endoscopy revealed an congested D1 mucosa with multiple small irregular ulcers. There was luminal narrowing at the level of D2 arising as a result of extrinsic compression. An abdominal CT revealed a ring of pancreatic tissue encircling the second part of duodenum. Surgical management in the form of bypass procedure done through a gastro jejunostomy, and follow-up of the patient. The patient had a normal and uneventful post operative course.
Authors and Affiliations
Murali Ramamoorthy, Tony Fredrick, Venkateswaran A R, Jeswanth S, Yuvaraj Jayaraman, Joseph k David
Keywords
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