Annular pancreas in an 11-year-old girl: a case report

Suk-Bae Moon Department of Surgery, Kangwon National University School of Medicine, Chuncheon, Republic of Korea Abstract: Annular pancreas (AP) is a rare cause of congenital duodenal obstruction that is usually discovered at the neonatal period, but clinical severities can vary over a wide range an...

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Main Author: Moon SB
Format: Article
Language:English
Published: Dove Medical Press 2017-03-01
Series:International Medical Case Reports Journal
Subjects:
Online Access:https://www.dovepress.com/annular-pancreas-in-an-11-year-old-girl-a-case-report-peer-reviewed-article-IMCRJ
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author Moon SB
author_facet Moon SB
author_sort Moon SB
collection DOAJ
description Suk-Bae Moon Department of Surgery, Kangwon National University School of Medicine, Chuncheon, Republic of Korea Abstract: Annular pancreas (AP) is a rare cause of congenital duodenal obstruction that is usually discovered at the neonatal period, but clinical severities can vary over a wide range and definite diagnosis could be delayed until late childhood or adulthood. We report here a case of AP detected in an 11-year-old girl who had a long history of symptoms of partial duodenal obstruction. Upper gastrointestinal (UGI) study revealed narrowed second portion of duodenum by extrinsic compression, and computed tomography demonstrated complete ring of pancreatic tissue surrounding the second portion of the duodenum. Diamond-shaped duodenoduodenostomy successfully cured the patient, and the postoperative UGI study showed smooth passage through the bypass segment. Although rare, AP should be differentiated in children with unresolved symptoms of partial duodenal obstruction. Keywords: annular pancreas, children, duodenoduodenostomy 
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spelling doaj.art-4719c8ea669d44fd8b58713ae1c6cc3b2022-12-21T23:25:33ZengDove Medical PressInternational Medical Case Reports Journal1179-142X2017-03-01Volume 10656731646Annular pancreas in an 11-year-old girl: a case reportMoon SBSuk-Bae Moon Department of Surgery, Kangwon National University School of Medicine, Chuncheon, Republic of Korea Abstract: Annular pancreas (AP) is a rare cause of congenital duodenal obstruction that is usually discovered at the neonatal period, but clinical severities can vary over a wide range and definite diagnosis could be delayed until late childhood or adulthood. We report here a case of AP detected in an 11-year-old girl who had a long history of symptoms of partial duodenal obstruction. Upper gastrointestinal (UGI) study revealed narrowed second portion of duodenum by extrinsic compression, and computed tomography demonstrated complete ring of pancreatic tissue surrounding the second portion of the duodenum. Diamond-shaped duodenoduodenostomy successfully cured the patient, and the postoperative UGI study showed smooth passage through the bypass segment. Although rare, AP should be differentiated in children with unresolved symptoms of partial duodenal obstruction. Keywords: annular pancreas, children, duodenoduodenostomy https://www.dovepress.com/annular-pancreas-in-an-11-year-old-girl-a-case-report-peer-reviewed-article-IMCRJannular pancreaschildrenduodeno-duodenostomy
spellingShingle Moon SB
Annular pancreas in an 11-year-old girl: a case report
International Medical Case Reports Journal
annular pancreas
children
duodeno-duodenostomy
title Annular pancreas in an 11-year-old girl: a case report
title_full Annular pancreas in an 11-year-old girl: a case report
title_fullStr Annular pancreas in an 11-year-old girl: a case report
title_full_unstemmed Annular pancreas in an 11-year-old girl: a case report
title_short Annular pancreas in an 11-year-old girl: a case report
title_sort annular pancreas in an 11 year old girl a case report
topic annular pancreas
children
duodeno-duodenostomy
url https://www.dovepress.com/annular-pancreas-in-an-11-year-old-girl-a-case-report-peer-reviewed-article-IMCRJ
work_keys_str_mv AT moonsb annularpancreasinan11yearoldgirlacasereport