Ahmetgjekaj Ilir, Roy Pooja, Hyseni Fjolla, Mamillo Keti, Syed Zaina, Parisapogu Anusha, Mian Hafsa Safeer, Pakhrin Shivani, Saha Tias, Tul Kubra Khadija, Maliha Maisha, Musa Juna, Ghosh Ammy Shankar
University Clinical Center, Clinic of Radiology, Germia Campus Nazim Gafurri, 21 Dr. Shpëtim Robaj, Prishtina 10000, Kosovo.
Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Radiol Case Rep. 2023 Jan 23;18(3):1364-1367. doi: 10.1016/j.radcr.2022.11.083. eCollection 2023 Mar.
Annular pancreas is an uncommon congenital anomaly which is a rare cause of congenital duodenal obstruction. It is normally identified during the neonatal period, but may also be identified in adolescence or adulthood. This diagnosis is often overlooked in adult patients who present with symptoms suggestive of duodenal obstruction. We present a case of AP detected in a 23-year-old man, with complaints of continuous vomiting and abdominal discomfort over the last 6 months. An upper gastrointestinal study revealed a constricted second part of the duodenum. A computed tomography scan revealed a complete ring of pancreatic tissue around the second part of the duodenum. Diagnostic and therapeutic surgery decompresses the external obstruction. The patient had an early post-operative activation. No specific guidelines and protocols exist about the management of such cases. Given the rarity of this congenital anomaly, presenting with chronic partial duodenal obstruction, and its successful surgical treatment, have prompted us to report the case along with a brief review of literature about the subject.
环状胰腺是一种罕见的先天性异常，是先天性十二指肠梗阻的罕见原因。它通常在新生儿期被发现，但也可能在青少年期或成年期被发现。对于出现十二指肠梗阻症状的成年患者，这种诊断常常被忽视。我们报告一例在一名23岁男性中检测到的环状胰腺病例，该患者在过去6个月里一直有持续呕吐和腹部不适的症状。上消化道造影显示十二指肠第二部狭窄。计算机断层扫描显示十二指肠第二部周围有完整的胰腺组织环。诊断性和治疗性手术可解除外部梗阻。患者术后恢复良好。目前尚无关于此类病例管理的具体指南和方案。鉴于这种先天性异常伴有慢性部分十二指肠梗阻的情况罕见，且手术治疗成功，促使我们报告该病例并对有关该主题的文献进行简要综述。
