DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20201509

Annular pancreas in adults: single unit experience from a tertiary care centre of Northern India

Amit Gupta, Utkarsh Kumar, Jaydeep Jain, Ashikesh Kundal, Natasha ., Deepak Rajput, Navin Kumar, Udit Chauhan

Abstract


Annular pancreas is a rare congenital anomaly which usually presents with gastrointestinal symptoms early in life. In adults mostly it remains asymptomatic or may present with abdominal or features of duodenal obstruction the increased diagnosis of which is attributed to the improved imaging modalities. We hereby report our experience of adult annular pancreas in whom clinical presentation initially mimicked gastric or duodenal outlet obstruction. Adult annular pancreas was diagnosed with the aid of computed tomography of the abdomen and treated successfully with Roux-en-Y isoperistaltic gastrojejunostomy.


Keywords


Adult annular pancreas, Gastric outlet obstruction, Gastrojejunostomy

Full Text:

PDF

References


Rondelli F, Bugiantella W, Stella P, Boni M, Mariani E, Crusco F, et al. Symptomatic annular pancreas in adult: Report of two different presentations and treatments and review of the literature. Int J Surg Case Rep. 2016;20S(Suppl):21-4.

Zyromski NJ, Sandoval JA, Pitt HA, Ladd AP, Fogel EL, Mattar WE, et al. Annular pancreas: dramatic differences between children and adults. J Am Coll Surg. 2008 May 1;206(5):1019-25.

Kandpal H, Bhatia V, Garg P, Sharma R. Annular pancreas in an adult patient: diagnosis with endoscopic ultrasonography and magnetic resonance cholangiopancreatography. Singapore Med J. 2009;50:e29-e31.

Lee PC, Lebnethal E. Prenatal and postnatal development of the human exocrine pancreas. In: Pancreas: Pathology, Pathobiology and Disease, Go VL, Dimagno EP, Gardner JD, et al (Eds). 2nd ed. New York: Raven Press; 1993:57.

De Ugarte DA, Dutson EP, Hiyama DT. Annular pancreas in the adult: management with laparoscopic gastrojejunostomy. Am Surg. 2006;72(1):71-3

Jimenez JC, Emil S, Podnos Y, Nguyen N. Annular pancreas in children: a recent decade’s experience. J Pediatr Surg. 2004;39:1654-7

Sandrasegaran K, Patel A, Fogel EL, Zyromski NJ, Pitt HA. Annular pancreas in adults, AJR Am J Roent-genol. 2009;193:455-60

Kiernan PD, ReMine SG, Kiernan PC, ReMine WH. Annular pancreas: Mayo Clinic experience from 1957 to 1976 with review of the literature. Arch Surg. 1980 Jan 1;115(1):46-50.