Partial annular pancreas as an incidental finding in a patient with intermittent bowel obstruction: A case report
Complete annular pancreas (AP) is a congenital anomaly, in which the duodenum is either completely or partially encircled by the ring of pancreatic tissue, which eventually becomes continuous with the head of the pancreas. The incidence of AP is estimated to be around 0.02%. Reports from endoscopic...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-11-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323005642 |
| _version_ | 1797672058972274688 |
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| author | Shailendra Katwal Rabindra Oli Amrit Bhusal Himal Bikram Bhattarai |
| author_facet | Shailendra Katwal Rabindra Oli Amrit Bhusal Himal Bikram Bhattarai |
| author_sort | Shailendra Katwal |
| collection | DOAJ |
| description | Complete annular pancreas (AP) is a congenital anomaly, in which the duodenum is either completely or partially encircled by the ring of pancreatic tissue, which eventually becomes continuous with the head of the pancreas. The incidence of AP is estimated to be around 0.02%. Reports from endoscopic retrograde cholangiopancreatography show an incidence of 0.4%. Partial AP (PAP) is a rarer entity, in which a band of pancreatic tissue in continuity with the head of the pancreas, incompletely encircles the duodenum. It may be asymptomatic or may present later in life with complications. We report a case of a 72-years old male with features of intermittent bowel obstruct which was later found to be having PAP on contrast-enhanced computed tomography imaging at the level of renal hilum characterized by “crocodile-jaw appearance.” The possibility of PAP should also be considered at the back of mind of the treating physician, if a patient presents with a long-term history of postprandial abdominal discomfort. |
| first_indexed | 2024-03-11T21:24:34Z |
| format | Article |
| id | doaj.art-1ae75c6d90ef4cc683bc9dc6f74c1460 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-11T21:24:34Z |
| publishDate | 2023-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-1ae75c6d90ef4cc683bc9dc6f74c14602023-09-28T05:25:24ZengElsevierRadiology Case Reports1930-04332023-11-01181139683971Partial annular pancreas as an incidental finding in a patient with intermittent bowel obstruction: A case reportShailendra Katwal0Rabindra Oli1Amrit Bhusal2Himal Bikram Bhattarai3Department of Radiology, Dadeldhura Subregional Hospital, Dadeldhura, NepalDepartment of Radiology, Nepal Medical College and Teaching Hospital, NepalDepartment of Radio-diagnostics and Imaging, BP Koirala Institute of Health Sciences (BPKIHS), Dharan, Sunsari, Nepal; Corresponding author.Gandaki Medical College, Teaching Hospital and Research Center, Pokhara, NepalComplete annular pancreas (AP) is a congenital anomaly, in which the duodenum is either completely or partially encircled by the ring of pancreatic tissue, which eventually becomes continuous with the head of the pancreas. The incidence of AP is estimated to be around 0.02%. Reports from endoscopic retrograde cholangiopancreatography show an incidence of 0.4%. Partial AP (PAP) is a rarer entity, in which a band of pancreatic tissue in continuity with the head of the pancreas, incompletely encircles the duodenum. It may be asymptomatic or may present later in life with complications. We report a case of a 72-years old male with features of intermittent bowel obstruct which was later found to be having PAP on contrast-enhanced computed tomography imaging at the level of renal hilum characterized by “crocodile-jaw appearance.” The possibility of PAP should also be considered at the back of mind of the treating physician, if a patient presents with a long-term history of postprandial abdominal discomfort.http://www.sciencedirect.com/science/article/pii/S1930043323005642PartialAnnular pancreasCongenitalBowel obstructionCase report |
| spellingShingle | Shailendra Katwal Rabindra Oli Amrit Bhusal Himal Bikram Bhattarai Partial annular pancreas as an incidental finding in a patient with intermittent bowel obstruction: A case report Radiology Case Reports Partial Annular pancreas Congenital Bowel obstruction Case report |
| title | Partial annular pancreas as an incidental finding in a patient with intermittent bowel obstruction: A case report |
| title_full | Partial annular pancreas as an incidental finding in a patient with intermittent bowel obstruction: A case report |
| title_fullStr | Partial annular pancreas as an incidental finding in a patient with intermittent bowel obstruction: A case report |
| title_full_unstemmed | Partial annular pancreas as an incidental finding in a patient with intermittent bowel obstruction: A case report |
| title_short | Partial annular pancreas as an incidental finding in a patient with intermittent bowel obstruction: A case report |
| title_sort | partial annular pancreas as an incidental finding in a patient with intermittent bowel obstruction a case report |
| topic | Partial Annular pancreas Congenital Bowel obstruction Case report |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323005642 |
| work_keys_str_mv | AT shailendrakatwal partialannularpancreasasanincidentalfindinginapatientwithintermittentbowelobstructionacasereport AT rabindraoli partialannularpancreasasanincidentalfindinginapatientwithintermittentbowelobstructionacasereport AT amritbhusal partialannularpancreasasanincidentalfindinginapatientwithintermittentbowelobstructionacasereport AT himalbikrambhattarai partialannularpancreasasanincidentalfindinginapatientwithintermittentbowelobstructionacasereport |