Annular pancreas presenting as gastric outlet obstruction in an adult: A case report

  • Rabindra K C Tribhuvan University Teaching Hospital . Maharajganj, Kathmandu , Nepal.

Abstract

Annular pancreas is a rare congenital abnormality which arises in the embryo by persistence of pancreatic tissue in the track which the ventral pancreatic bud follows in its rotation round the duodenum.  A 21 years old male was admitted because of a non bilious vomiting and epigastric fullness after intake of food. Diagnosis was confirmed with contrast enhanced CT scan of the abdomen. He successfully underwent laparoscopic gastrojejunostomy with uneventful postoperative recovery. Though rare, annular pancreas should be considered as differential diagnosis in patient presenting as gastric outlet obstruction after excluding common causes.

Author Biography

Rabindra K C, Tribhuvan University Teaching Hospital . Maharajganj, Kathmandu , Nepal.
Department of Surgery Institute of Medicine,

References

1. Shirkhoda A. Anomalies and anatomic variants of pancreas. In Gore RM, Levine MS, editors. Textbook of gastrointestinal radiology. Philadelphia: WB Saunders; 2000. p. 1754-66.
2. Cunha J E M, Lima MS, Jukemura J, Penteado S, Jureidini R, Patzina R A; Unusual presentation of annular pancreas in the adult. Pancreatology 2005;5:81–85

3. Urayama S, Kozarek R, Ball T, Brandabur J, Traverso L, Ryan J, Wechter D. Presentation and treatment of annular pancreas in adults; American journal of gastroenterology 1995 Jun;90(6):995-9.

4. Chen YC, Yeh CN, Tseng JH. Symptomatic adult annular pancreas. J Clin Gastroenterol 2003; 36:446–45
Published
2016-08-04
How to Cite
K C, Rabindra. Annular pancreas presenting as gastric outlet obstruction in an adult: A case report. J Soc Surg Nep, [S.l.], v. 17, n. 2, p. 35-36, aug. 2016. ISSN 2392-4772. Available at: <https://jssn.org.np/index.php?journal=jssn&page=article&op=view&path%5B%5D=169>. Date accessed: 25 apr. 2025.
Section
Case Reports

Keywords

Annular pancreas, gastrojejunostomy, gastric outlet obstruction