Laparoscopic Treatment of Annular Pancreas Causing Duodenal Obstruction in an Adult: A Case Report
Annular Pancreas in an Adult
Annular pancreas is a rare congenital anomaly characterized by the presence of a pancreatic tissue of variable amount which completely or partially obstructs the second part of duodenum. It usually affects infancy, but in adulthood it can mimic a wide range of clinical entity. Gastrojejunostomy or duodenojejunostomy are common operations in adults because the duodenum is less mobile. We report a case of annular pancreas in a 60-year-old male that presented with clinical condition of gastric outlet obstruction and was successfully treated with a laparoscopic Roux-en-Y gastrojejunostomy.
Cunha JE, de Lima MS, Jukemura J, Penteado S, Jureidini R, Patzina, et al. Unusual clinical presentation of annular pancreas in the adult. Pancreatology 2005;5:81–5.
Zheng HM, Cai XJ, Shen LG, Finley R. Surgical treatment of annular pancreas in adults: a report. Chin Med J (Engl) 2007;120:724–5.
Cai H, Wang X, Cai YQ, Li YB, Meng LW, Peng B. Laparoscopic Roux-en duodenojejunostomy for annular pancreas in adults: case report and literature review. Ann Transl Med 2018;6:1-5.
Badiola I, Las NE, Sanz A, Estraviz B, Ibanez F. Laparoscopic side-to-side duodenoduodenostomy for adults annular pancreas. Cir Esp 2014;92:630-1.
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;69:404-10.
Huddleston VS, Lippuner V, Dyer AW. Annular pancreas in an adult presenting with acute pancreatitis. J Radiol Case Rep 2018;12:11-6.
Fu PF, Yu JR, Liu XS, Shen QY, Zheng SS. Symptomatic adult annular pancreas: report of two cases and a review of the literature. Hepatobiliary Pancreat Dis Int 2005;4:468–71.
Zyromski NJ, Sandoval JA, Pitt HA, Ladd AP, Fogel EL, Matter WE, et al. Annular pancreas: dramatic differences between children and adults. J Am Coll Surg 2008;206:1019–25.
Sonika U, Dalal A, Kumar A. A rare cause of recurrent acute pancreatitis. JGH Open 2020;4:1019.
Gromski MA, Lehman GA, Zyromski NJ, Watkins JL, Hajj IE, Tan D, et al. Annular pancreas: endoscopic and pancreatographic findings from a tertiary referral ERCP. Center Gastrointest Endosc 2019;89:322–8.
Ugarte DA, Dutson EP, Hiyama DT. Annular pancreas in the adult: management with laparoscopic gastrojejunostomy. Am Surg 2006;72:71–3.
Piglia EB, Penna CR, Tobias J, Oliveira D, Marchiori E. The main radiologic findings in annular pancreas. Radiol Bras 2019;52:275-6.
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