Annulling an Annulled Annular Pancreas: A Case Report

Authors

  • Subodh Ghimire Nepal Mediciti Hospital, Bhaisepati, Laltipur, Nepal
  • Sunil Kumar Sharma Dhakal Nepal Mediciti Hospital, Bhaisepati, Laltipur, Nepal
  • Pranil Rai Nepal Mediciti Hospital, Bhaisepati, Laltipur, Nepal
  • Nirvan Rai Nepal Mediciti Hospital, Bhaisepati, Laltipur, Nepal
  • Rajiv Mishra Nepal Mediciti Hospital, Bhaisepati, Laltipur, Nepal

DOI:

https://doi.org/10.3126/nmmj.v4i1.57138

Keywords:

Annular, Atrophy, Bleeding, Pancreas

Abstract

Annular Pancreas (AP) is a rare congenital developmental anomaly which results from failure of the ventral bud to rotate to fuse with the dorsal bud, resulting in a ring of pancreatic parenchyma that surrounds the second portion of the duodenum. This rare entity can be partial or complete and the partial is even rarer. Most cases manifest in the infancy but may remain asymptomatic and various nonspecific clinical manifestations are seen in adults. We report a rare case of partial annular pancreas with atrophy of body and tail of pancreas which presented with upper gastrointestinal bleeding and obstruction. The challenge in this case was the annular pancreas was the only functioning pancreatic tissue.

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Author Biographies

Subodh Ghimire, Nepal Mediciti Hospital, Bhaisepati, Laltipur, Nepal

Department of General Surgery and Digestive Diseases

Sunil Kumar Sharma Dhakal, Nepal Mediciti Hospital, Bhaisepati, Laltipur, Nepal

Department of General Surgery and Digestive Diseases

Pranil Rai, Nepal Mediciti Hospital, Bhaisepati, Laltipur, Nepal

Department of General Surgery and Digestive Diseases

Nirvan Rai, Nepal Mediciti Hospital, Bhaisepati, Laltipur, Nepal

Department of General Surgery and Digestive Diseases

Rajiv Mishra, Nepal Mediciti Hospital, Bhaisepati, Laltipur, Nepal

Department of General Surgery and Digestive Diseases

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Published

2023-07-30

How to Cite

Ghimire, S., Dhakal, S. K. S., Rai, P., Rai, N., & Mishra, R. (2023). Annulling an Annulled Annular Pancreas: A Case Report. Nepal Mediciti Medical Journal, 4(1), 16–19. https://doi.org/10.3126/nmmj.v4i1.57138

Issue

Section

Case Reports