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Recurrent non-bilious vomiting in a child: A case report of an uncommon diagnosis

Abdelouhab Ammor1, Siham Nasri2, Kamal El Haissoufi1

  • 1Department of Visceral and Urogenital Pediatric Surgery, University Hospital of Oujda; Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, Morocco.

African Journal of Paediatric Surgery : AJPS
|February 1, 2023
PubMed

Insights

Annular pancreas (AP) is a rare congenital anomaly causing duodenal obstruction. This case highlights delayed diagnosis in an infant presenting with vomiting, emphasizing AP

Area of Science:

  • Pediatric Surgery
  • Congenital Anomalies
  • Gastrointestinal Disorders

Background:

  • Annular pancreas (AP) is a congenital anomaly.
  • It can cause duodenal obstruction in all age groups.
  • Symptoms can be varied and delayed, often misdiagnosed.

Observation:

  • An 18-month-old girl presented with recurrent post-prandial vomiting.
  • Initial diagnosis was gastroesophageal reflux.
  • Upper GI study suggested partial duodenal obstruction.

Findings:

  • Computed tomography confirmed a complete pancreatic ring.
  • The ring surrounded the second part of the duodenum.
  • Surgical correction via diamond-shaped duodenoduodenostomy was successful.

Implications:

  • Annular pancreas should be considered in pediatric patients with duodenal obstruction symptoms.
  • Timely diagnosis and surgical intervention are crucial.
  • This case underscores the importance of considering rare congenital anomalies in differential diagnoses.

Keywords:
Annular pancreascase reportchildduodenal obstructionduodenoduodenostomyrecurrent vomiting

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