A Strange Case of Double Annular Pancreas

  • Satheesha Nayak Melaka Manipal Medical College (Manipal Campus), Manipal University, Madhav Nagar. Manipal, Karnataka State, India
  • Narendra Pamidi Melaka Manipal Medical College (Manipal Campus), Manipal University, Madhav Nagar. Manipal, Karnataka State, India
  • Bincy M George Melaka Manipal Medical College (Manipal Campus), Manipal University, Madhav Nagar. Manipal, Karnataka State, India
  • Anitha Guru Melaka Manipal Medical College (Manipal Campus), Manipal University, Madhav Nagar. Manipal, Karnataka State, India
Keywords: Annular pancreas, Duodenum, Mesenteric Artery, Superior, Pancreas

Abstract

Context The pancreas is a soft lobulated gland situated transversely across the upper part of the posterior abdominal wall. Its parts include the head, neck, body and tail. Annular pancreas is a rare condition where the head of the pancreas surrounds the second part of the duodenum like a ring. Case report We observed a rare type of double annular pancreas where the uncinate process encircled the third part of the duodenum. A process from the head of the pancreas encircled the junction between the first and second parts of the duodenum incompletely. There was a large artery running along the anterior border of the pancreas. The artery took origin from the superior mesenteric artery. Conclusion This case may be of interest to gastroenterologists and surgeons.

Image: View of the duodenum and pancreas.

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References

Lainakis N, Antypas S, Panagidis A et al. Annular pancreas in two consecutive siblings: an extremely rare case. European Journal of Pediatric Surgery. 2005; 15 (5): 364–8.

Ravitch, MM. The pancreas in infants and children. Surg Clin North Am. 1975; 55 (2): 377–85.

Patra DP, Basu A, Chanduka A, Roy A. Annular pancreas: a rare cause of duodenal obstruction in adults. Indian J Surg. 2011 Apr;73(2):163-5. Epub 2010 Nov 16.

Moore LL, Dalley AF. Clinically oriented anatomy. 5th ed. Philadelphia: Lippincott. Williams and Wilkins. pp. 2006; 264–265.

Siew JX, Yap TL, Phua KB et al. Annular Pancreas: A Rare Cause of Upper Gastrointestinal Bleeding in a Child. J Pediatr Gastroenterol Nutr. 2012 Aug 3. [Epub ahead of print]

Kobayashi S, Honda G, Kurata M, Okuda Y et al. Pancreaticoduodenectomy in portal annular pancreas: report of a case. Surg Today. 2012 Aug 2. [Epub ahead of print]

Jang JY, Chung YE, Kang CM, Choi SH et al. Two cases of portal annular pancreas. Korean J Gastroenterol. 2012; 60(1):52-5.

Komuro H, Gotoh C, Urita Y et al. A pediatric case of an unusual type of annular pancreas presenting with duodenopancreatic reflux. Pediatr Surg Int. 2012; 28(7):715-7.

Jimenez JC, Emil S, Podnos Y, Nguyen N. Annular pancreas in children: a recent decade's experience. J Pediatr Surg. 2004.39(11):1654-7.

Miyazawa M, Muto A, Sato M, Koyama K, Endo H, Ashino Y. A case of annular pancreas in a male adult. Fukushima J Med Sci. 2004;50(2):75-81.

Cunha JE, de Lima MS, Jukemura J, Penteado S, et al. Unusual clinical presentation of annular pancreas in the adult. Pancreatology. 2005; 5(1):81-5.

Maker V, Gerzenshtein J, Lerner T. Annular pancreas in the adult: two case reports and review of more than a century of literature. Am Surg. 2003;69(5):404-10.

View of the duodenum and pancreas
Published
2013-01-10
How to Cite
NayakS., PamidiN., GeorgeB., & GuruA. (2013). A Strange Case of Double Annular Pancreas. JOP. Journal of the Pancreas, 14(1), 96-98. https://doi.org/10.6092/1590-8577/1281
Section
CASE REPORTS