Annular Pancreas Presenting With Acute Pancreatitis And Duodenal Obstruction- A Rare Case Report
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 3
Abstract
Annular pancreas manifesting in adulthood is rare and presentation after the age of 60 is rarer. We discuss our experience with one case of annular pancreas which presented with recurrent acute pancreatitis and duodenal obstruction. A 60 years old male presented with abdominal pain and features of gastric outlet obstruction. As malignancy is an important differential diagnosis to be considered at this age, the radiological features consistent with annular pancreas (CT &MRI) played a crucial part in clinching the diagnosis preoperatively. Laparotomy confirmed the preoperative findings and areas of saponification around the annulus was also seen. A lateral duodenojejunostomy was done and intraoperative core biopsy of the annular tissue was taken. Postoperative course was uneventful. Biopsy confirmed pancreatic tissue with fibrocollagenous tissue with no evidence of malignancy.This case is being presented for its rarity.
Authors and Affiliations
Dinesh Kumar K, Chandrabose Ambedkar M J, Rajendran V
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