Department of Visceral and Urogenital Pediatric Surgery, University Hospital of Oujda; Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, Morocco.
Faculty of Medicine and Pharmacy, Mohammed First University, Oujda; Department of Radiology, University Hospital of Oujda, Morocco.
Afr J Paediatr Surg. 2023 Jan-Mar;20(1):67-70. doi: 10.4103/ajps.ajps_86_21.
Annular pancreas (AP) is a congenital anomaly and a recognised cause of duodenal obstruction which can affect all age groups. It may manifest early in the neonatal period, but it may also have varied and often delayed symptoms. We report the case of AP in an 18-month-old girl with a long history of recurrent post-prandial non-bilious vomiting treated for a long time with the clinical diagnosis of gastroesophageal reflux. Upper gastrointestinal study was suggestive of partial duodenal obstruction and computed tomography revealed a complete ring of pancreatic parenchyma surrounding the second part of the duodenum. Diamond-shaped duodenoduodenostomy was achieved successfully and the post-operative period was uneventful. Although rare, AP must be kept in mind of any paediatric surgeon while confronted to symptoms of partial duodenal obstruction.
环状胰腺（AP）是一种先天性异常，也是引起十二指肠梗阻的原因之一，可影响所有年龄段的人群。它可以在新生儿期早期表现出来，但也可能有多种且常为延迟的症状。我们报告了一例 18 个月大的女孩患有环状胰腺，她长期有餐后非胆汁性呕吐的病史，曾长期被误诊为胃食管反流，接受治疗。上消化道研究提示部分十二指肠梗阻，计算机断层扫描显示胰腺实质呈完整的环形围绕十二指肠第二段。成功地进行了菱形十二指肠空肠吻合术，术后恢复顺利。虽然罕见，但任何遇到部分十二指肠梗阻症状的小儿外科医生都必须考虑到 AP 的可能性。
