Annular pancreas intra operatively discovered: a case report

  • Zeineb Mzoughi | mzeineb@yahoo.com Department of Surgery and Liver Transplantation, Mongi Slim Hospital, Tunis, Tunisia.
  • Ben Abid Sadri Department of Surgery and Liver Transplantation, Mongi Slim Hospital, Tunis, Tunisia.
  • Miloudi Nizar Department of Surgery and Liver Transplantation, Mongi Slim Hospital, Tunis, Tunisia.
  • Hentati Hassen Department of Surgery and Liver Transplantation, Mongi Slim Hospital, Tunis, Tunisia.
  • Arfa Nafaa Department of Surgery and Liver Transplantation, Mongi Slim Hospital, Tunis, Tunisia.
  • Khalfallah Taher Department of Surgery and Liver Transplantation, Mongi Slim Hospital, Tunis, Tunisia.

Abstract

Annular pancreas is a rare congenital abnormality. This entity can rarely be symptomatic. Patients can present with gastrointestinal obstruction or acute pancreatitis. We report a case with a rich iconography, of an annular pancreas discovered intraoperatively. A 46- year-old woman was operated with the diagnosis of acute cholecystitis with common bile duct stones. At operation, a strip of pancreatic tissue (2 cm) completely encircled the second duodenum. Open cholecytectomy with choledocotomy and stones extractionwas done. Postoperatively, she developed an acute pancreatitis. The post-operative cholangiography showed the annular duct surrounding the second duodenum. Annular pancreas is rare. Symptoms may occur in newborn children. In adults, annular pancreas discovering is radiological or intra operatively.

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Published
2011-10-28
Section
Case Reports
Keywords:
annular pancreas, annular duct, pancreatitis.
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How to Cite
Mzoughi, Z., Sadri, B., Nizar, M., Hassen, H., Nafaa, A., & Taher, K. (2011). Annular pancreas intra operatively discovered: a case report. Clinics and Practice, 1(4), e82. https://doi.org/10.4081/cp.2011.e82

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