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Pediatric Education and Research 12(2):p 47-50, July - Dec 2024. | DOI: https://dx.doi.org/10.21088/per.2321.1644.12224.2
Case Report
Diagnostic Dilemma in Diagnosis of Annular Pancreas: A Case Report
Rajeev Kumar Thapar, , R. Subha1 , Rajeev Kumar Thapar2 , Ravi Kale3
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Pediatric Education and Research 12(2):p 47-50, July - Dec 2024. | DOI: https://dx.doi.org/10.21088/per.2321.1644.12224.2
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R. Subha, Rajeev Kumar Thapar, Ravi Kale, Diagnostic Dilemma in Diagnosis of Annular Pancreas: A Case Report. Pediatr. Edu. Res. 2024;12(2): 47-50.
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Abstract
Background: Annular pancreas (AP) is a congenital disorder of the pancreas, thought to result from the malrotation of the ventral pancreatic bud. This causes the duodenum to be encircled by the pancreatic tissue, leading to duodenal obstruction. The management of annular pancreas is usually surgical. Clinical Description: A 10-month-old male infant presented with regurgitation of yellowish feeds for the past few months, with no other positive clinical findings. Radiological investigations revealed an obstruction after the first part of the duodenum. A barium swallow showed duodenal stenosis. The patient underwent surgery, and the diagnosis of annular pancreas was confirmed. Management and Outcome: After clinical and radiological diagnosis, the child was managed surgically and underwent duodenojejunostomy. Postoperatively, the patient remained clinically stable and is symptom-free. Conclusion: Annular pancreas is a rare but significant cause of duodenal obstruction, which can present from the neonatal period to adulthood. The patient may experience bilious or non-bilious vomiting. The definitive diagnosis is made via laparotomy. Surgical management is required, with duodenojejunostomy being the best treatment option.
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Cite this article
R. Subha, Rajeev Kumar Thapar, Ravi Kale, Diagnostic Dilemma in Diagnosis of Annular Pancreas: A Case Report. Pediatr. Edu. Res. 2024;12(2): 47-50.
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DOI: https://dx.doi.org/10.21088/per.2321.1644.12224.2
Keywords
Annular pancreasDuodenal obstructionRegurgitationStenosis.Search for Similar Articles
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