Annular pancreas in adulthood: Two compelling cases, including one with pyloric stenosis and chronic pancreatitis

We report the infrequent occurrence of the annular pancreas (AP) in adults by presenting two remarkable cases. The first case involved an incidental discovery of an AP in a patient diagnosed with chronic pancreatitis. Surgical intervention was warranted due to gastric outlet obstruction resulting fr...

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Bibliographic Details
Published inMedical journal. Armed Forces India
Main Authors Kumar, Vipan, Avudaiappan, Mohanasundaram, Sharma, Pardeep K., Gupta, Vikas
Format Journal Article
LanguageEnglish
Published Elsevier B.V 01.02.2024
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Summary:We report the infrequent occurrence of the annular pancreas (AP) in adults by presenting two remarkable cases. The first case involved an incidental discovery of an AP in a patient diagnosed with chronic pancreatitis. Surgical intervention was warranted due to gastric outlet obstruction resulting from pyloric stenosis. The patient underwent loop gastrojejunostomy (GJ) and duodenojejunostomy (DJ). The second case was evaluated for dyspeptic symptoms, and the AP was diagnosed on the contrast-enhanced abdomen CT. A bypass procedure in the form of loop DJ was performed to address the obstruction. These two cases underscore the distinctive presentations of AP and highlight the need for tailored strategies in their management.
ISSN:0377-1237
DOI:10.1016/j.mjafi.2023.12.012