Annular Pancreas in Adult

Sung Bum Kim; Kook Hyun Kim; Tae Nyeun Kim

doi:10.4166/kjg.2018.71.5.294

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Kim, Kim, and Kim: Annular Pancreas in Adult

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Korean J Gastroenterol 2018;71(5):294-296.

Published online: 4 October 2018

DOI: https://doi.org/10.4166/kjg.2018.71.5.294

Annular Pancreas in Adult

Sung Bum Kim, Kook Hyun Kim, Tae Nyeun Kim

Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea

Correspondence to: Tae Nyeun Kim, Department of Internal Medicine, Yeungnam University College of Medicine, 170 Hyeonchung-ro, Nam-gu, Daegu 42415, Korea. Tel: +82-53-620-3842, Fax: +82-53-654-8386, E-mail: tnkim@yu.ac.kr

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

References

1. Ravitch MM, Woods AC Jr. Annular pancreas. Ann Surg. 1950; 132:1116–1127.

2. Ravitch MM. The pancreas in infants and children. Surg Clin North Am. 1975; 55:377–385.

3. Johnston DW. Annular pancreas: a new classification and clinical observations. Can J Surg. 1978; 21:241–244.

4. Etienne D, John A, Menias CO, Ward R, Tubbs RS, Loukas M. Annular pancreas: a review of its molecular embryology, genetic basis and clinical considerations. Ann Anat. 2012; 194:422–428.

5. Kiernan PD, ReMine SG, Kiernan PC, ReMine WH. Annular pancreas: may clinic experience from 1957 to 1976 with review of the literature. Arch Surg. 1980; 115:46–50.

6. Zheng HM, Cai XJ, Shen LG, Finley R. Surgical treatment of annular pancreas in adults: a report. Chin Med J (Engl). 2007; 120:724–725.

7. Shan YS, Sy ED, Lin PW. Annular pancreas with obstructive jaundice: beware of underlying neoplasm. Pancreas. 2002; 25:314–316.

8. Jimenez JC, Emil S, Podnos Y, Nguyen N. Annular pancreas in children: a recent decade's experience. J Pediatr Surg. 2004; 39:1654–1657.

9. Zyromski NJ, Sandoval JA, Pitt HA, et al. Annular pancreas: dra-matic differences between children and adults. J Am Coll Surg. 2008; 206:1019–1025. discussion 1025–1027.

10. Wang K, Wu W, Cong L, Xing X, Zhao Y. Laparoscopic enucleation of insulinoma in a patient with annular pancreas: a rare case. J Gastrointest Surg. 2014; 18:878–879.

11. Thomford NR, Knight PR, Pace WG, Madura JA. Annular pancreas in the adult: selection of operation. Ann Surg. 1972; 176:159–162.

12. Alahmadi R, Almuhammadi S. Annular pancreas: a cause of gastric outlet obstruction in a 20-year-old patient. Am J Case Rep. 2014; 15:437–440.

Fig. 1.

Abdominal computed tomography scan shows duodenal second portion surrounded by pancreatic tissue (white arrow).

Fig. 2.

Upper abdominal sonography showed second portion of duodenum within pancreatic parenchyme (white arrow).

Fig. 3.

Pancreas magnetic resonance image shows second portion of duodenum surrounded by pancreatic tissue on T1 weighted image (white arrow).

Fig. 4.

Upper gastrointestinal series showed focal narrowing at second portion of duodenum, however passage of contrast through narrowed lumen was seen (white arrow).

Fig. 5.

Esophagogastroduodenoscope shows slight narrowing at second portion of duodenum (A) and major papilla with normal appearance (B).

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