Annulling an Annulled Annular Pancreas: A Case Report

S. Ghimire, Sunil Dhakal, P. Rai, Nirvan Rai, R. Mishra
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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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切除环形胰腺一例报告
环状胰腺(AP)是一种罕见的先天性发育异常,是由于腹侧芽未能旋转与背侧芽融合,导致胰腺实质环包围十二指肠第二部分。这种罕见的实体可以是部分的,也可以是完全的,部分的更罕见。大多数病例表现在婴儿期,但可能仍然无症状,各种非特异性临床表现见于成人。我们报告一例罕见的部分环状胰腺伴胰体及胰尾萎缩,并表现为上消化道出血及梗阻。这个病例的挑战在于环状胰腺是唯一有功能的胰腺组织。
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