A pediatric case of an unusual type of annular pancreas presenting with duodenopancreatic reflux.

Pediatric Surgery International
Hiroaki KomuroToko Shinkai

Abstract

Pancreatitis, a late complication of an annular pancreas (AP), results from coexisting pancreaticobiliary malformations including pancreas divisum (PD), and pancreaticobiliary maljunction (PBM). The authors report the case of a 3-year-old boy with an unusual type of AP in which the dorsal anlage encircled the duodenum. The patient developed duodenal obstruction as well as duodenopancreatic reflux with resulting hyperamylasemia and hyperlipasemia. This type of AP associated with duodenopancreatic reflux in AP has not been reported previously. The patient was successfully treated by duodenoduodenostomy, which, by correcting the duodenopancreatic reflux, prevented the later development of pancreatitis.

References

Jun 9, 2004·Journal of Pediatric Surgery·Mauricio A EscobarDeborah F Billmire
Nov 18, 2004·Journal of Pediatric Surgery·Juan Carlos JimenezNam Nguyen
May 13, 2008·Journal of the American College of Surgeons·Nicholas J ZyromskiJay L Grosfeld
Oct 30, 2008·Surgery Today·Yasuharu Ohno, Takashi Kanematsu
Apr 14, 2010·Journal of Pediatric Surgery·Naoto UrushiharaShiro Hasegawa

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Citations

Jun 15, 2012·Annals of Anatomy = Anatomischer Anzeiger : Official Organ of the Anatomische Gesellschaft·Denzil EtienneMarios Loukas

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