Laparoscopic diagnosis of annular pancreas in a patient with mucinous cystoadenoma of the body of the pancreas.
BACKGROUND
Annular pancreas (AP) is a rare anomaly due to malrotation of the pancreatic ventral bud during embryologic development. AP has been extensively described in the pediatric population; however, in adults, the incidence has been reported to be only 1 in 22,000 patients with only a few cases presenting with simultaneous mucinous cystadenoma described in the recent literature.


METHODS
We report the case of a 72-year-old female patient with a mucinous cystadenoma, who was found to have a concomitant AP during laparoscopic distal pancreatectomy.


CONCLUSIONS
The dual presentation of annual pancreas and mucinous cystoadenoma is an infrequent condition and can be managed with minimally invasive techniques; bypass in adults should only be performed in patients with symptomatic duodenal compression or recurrent bouts of pancreatitis.
Department of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, PA, USA.
Luca
L
Milone
Zhamshid
Z
Okhunov
Andrew A
AA
Gumbs
D000368:Aged; D018291:Cystadenoma, Mucinous / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010179:Pancreas / Q000002:abnormalities / Q000601:surgery; D010180:Pancreatectomy / Q000379:methods; D010182:Pancreatic Diseases / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D010190:Pancreatic Neoplasms / Q000150:complications* / Q000601:surgery; D013156:Splenectomy / Q000379:methods