Annular pancreas intra operatively discovered: a case report.
Annular pancreas is a rare congenital abnormality. This entity can rarely be symptomatic. Patients can present with gastrointestinal obstruction or acute pancreatitis. We report a case with a rich iconography, of an annular pancreas discovered intraoperatively. A 46-year-old woman was operated with the diagnosis of acute cholecystitis with common bile duct stones. At operation, a strip of pancreatic tissue (2 cm) completely encircled the second duodenum. Open cholecytectomy with choledocotomy and stones extractionwas done. Postoperatively, she developed an acute pancreatitis. The post-operative cholangiography showed the annular duct surrounding the second duodenum. Annular pancreas is rare. Symptoms may occur in newborn children. In adults, annular pancreas discovering is radiological or intra operatively.
Department of Surgery and Liver Transplantation, Mongi Slim Hospital, Tunis, Tunisia.
Mzoughi
M
Zeineb
Department of Surgery and Liver Transplantation, Mongi Slim Hospital, Tunis, Tunisia.
Ben Abid
BA
Sadri
Department of Surgery and Liver Transplantation, Mongi Slim Hospital, Tunis, Tunisia.
Miloudi
M
Nizar
Department of Surgery and Liver Transplantation, Mongi Slim Hospital, Tunis, Tunisia.
Hentati
H
Hassen
Department of Surgery and Liver Transplantation, Mongi Slim Hospital, Tunis, Tunisia.
Arfa
A
Nafaa
Department of Surgery and Liver Transplantation, Mongi Slim Hospital, Tunis, Tunisia.
Khalfallah
K
Taher
annular duct; annular pancreas; pancreatitis.