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Annular pancreas: Culprit or innocent bystander?
Karthik Ragunathan1, Prabhleen Chahal2
1Department of internal medicine, university of Illinois college of medicine, Peoria, IL, USA.
Clinics and Research in Hepatology and Gastroenterology
|December 10, 2014
Summary
Annular pancreas, a rare congenital anomaly, is usually linked to duodenal and biliary issues. This case highlights a 57-year-old female where it was an incidental finding, not causing jaundice.
Area of Science:
- Gastroenterology
- Congenital Anomalies
- Hepatology
Background:
- Annular pancreas is a rare congenital anomaly.
- It is often associated with duodenal and biliary obstructions.
- However, its actual incidence in causing such complications is very low.
Observation:
- A 57-year-old female presented with mixed hepatocellular and obstructive jaundice.
- Diagnostic investigations were performed to determine the cause of jaundice.
Findings:
- Annular pancreas was identified as a co-existing condition.
- The annular pancreas was found to be an incidental finding and not the cause of the patient's jaundice.
- The patient's jaundice was attributed to other underlying causes.
Implications:
- This case underscores the importance of differentiating between incidental findings and causative factors in complex presentations.
- It suggests that not all cases of annular pancreas lead to obstructive symptoms.
- Further investigation is crucial for accurate diagnosis and appropriate management of jaundice in patients with co-existing annular pancreas.
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