Complete Annular Pancreas with Concurrent Entero-Pancreatico-Biliary Symptoms in Adult: A Case Report

M M Chowdhury1, A A Ullah, R Karim

  • 1Professor Md Mohsen Chowdhury, Professor & Head, Department of the Yellow Unit II, Hepatobiliary & Pancreatic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh.

Insights

Complete Annular Pancreas (AP) is a rare congenital anomaly. Surgical intervention offers a favorable outcome for adults presenting with biliary, duodenal, or pancreatic symptoms.

Area of Science:

  • Gastroenterology and Hepatobiliary Surgery

Background:

  • Complete Annular Pancreas (AP) is a rare congenital anomaly.
  • While often diagnosed in infancy, AP can manifest in adulthood with varied symptoms.

Observation:

  • A 43-year-old female presented with concurrent biliary, duodenal, and pancreatic symptoms.
  • Laparotomy revealed a complete AP with partial duodenal stenosis and a dilated common bile duct.

Findings:

  • Surgical management included gastrojejunostomy and hepaticojejunostomy (Roux-en-Y anastomosis).
  • The patient experienced a complete symptom resolution post-surgery.

Implications:

  • Complete AP can present at any age with diverse symptomatology.
  • Surgical treatment for symptomatic adult AP demonstrates positive outcomes.

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