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Annular pancreas in adults (2 case reports)
1Department of Surgery, Kasturba Medical College and Hospital, Manipal, Karnataka.
Journal of Postgraduate Medicine
|January 1, 1991
Summary
Annular pancreas, a rare congenital condition, can cause duodenal obstruction in adults. Surgical intervention, such as duodeno-jejunostomy, offers effective relief for these challenging cases.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Annular pancreas is a congenital anomaly where pancreatic tissue encircles the duodenum.
- It can lead to duodenal obstruction, particularly in adults, presenting with varied symptoms.
Observation:
- Two adult cases of annular pancreas are presented.
- Case 1: A middle-aged woman with duodenal obstruction and gastric ulcer.
- Case 2: A young girl with duodenal obstruction, severe wasting, and dehydration.
Findings:
- Surgical management involving anterior highly selective vagotomy (H.S.V.) with posterior truncal vagotomy and isoperistaltic duodeno-jejunostomy successfully relieved symptoms in the first patient.
- Duodeno-jejunostomy alone resulted in an uneventful recovery for the second patient.
Implications:
- Surgical reconstruction, specifically duodeno-jejunostomy, is a viable treatment for symptomatic annular pancreas in adults.
- Early diagnosis and surgical intervention are crucial for managing duodenal obstruction caused by annular pancreas.