J Korean Surg Soc.  1998 Feb;54(2):294-298.

Annular Pancreas in Adult

Affiliations
  • 1Department of Surgery, College of Medicine, Soon Chun Hyang University, Chunan, Korea.

Abstract

An annular pancreas is a rare congenital variant of the pancreatic anatomy, which may cause symptoms of gastric outlet obstruction and recurrent pancreatitis, and is often hard to diagnose before operation. The case of an annular pancreas with intermittent abdominal pain in a 38-year-old alcoholic man is described. A duodenal obstruction with consecutive ulcers was the clinical manifestation in this patient. The annular pancreas was diagnosed by using hypertonic duodenography followed by pancreatic angiography. The duodenoscopy revealed stenosis of the pancreas. A duodeno-duodenostomy relieved the symptoms. The patient had an uneventful recovery following a operation.

Keyword

Annular pancreas

MeSH Terms

Abdominal Pain
Adult*
Alcoholics
Angiography
Constriction, Pathologic
Duodenal Obstruction
Duodenoscopy
Gastric Outlet Obstruction
Humans
Pancreas*
Pancreatitis
Ulcer
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