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CC BY-NC-ND 4.0 · Journal of Morphological Sciences 2019; 36(04): 299-302
DOI: 10.1055/s-0039-1696694
Case Report
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Incidental Finding of Annular Pancreas in a Routine Cadaveric Dissection: Case Report

Mythraeyee Prasad
1   Department of Anatomy, Christian Medical College, Vellore, Tamil Nadu, India
,
Theresa Susan Kuriakose
1   Department of Anatomy, Christian Medical College, Vellore, Tamil Nadu, India
,
Sipra Rout 
1   Department of Anatomy, Christian Medical College, Vellore, Tamil Nadu, India
› Institutsangaben
Weitere Informationen

Publikationsverlauf

03. Juli 2019

20. Juli 2019

Publikationsdatum:
04. Dezember 2019 (online)

   Lizenzen und Reprints

Abstract

Annular pancreas is a rare congenital anomaly that results from the malrotation of the ventral pancreatic bud. The presentation of annular pancreas varies: it can be asymptomatic or present clinical symptoms of duodenal obstruction that can affect all age groups, from newborns to adults. In the present case report, we describe a complete type of annular pancreas at the level of the second part of the duodenum, which was an incidental finding in a prosected specimen. This anomaly has significant clinical relevance to clinicians and radiologists due to its variable presentation. The embryological, clinical and radiological aspects of this congenital anomaly are discussed in detail in the present article.

Keywords

annular pancreas - congenital anomaly - duodenal obstruction - pancreatic bud
 

  • References

  • 1 Susan and Standring. Gray's Anatomy. 40th ed. Elsevier;
    Google Scholar
  • 2 Sadler TW. Langman's Medical Embryology, 8th ed. Lippincott Williams & Wilkins; Philadelphia, PA: 2000
    Google Scholar
  • 3 Tiedemann F. Über die Verschiedenheiten des Ausführungsganges der Bauchspeicheldrüse bei den Menschen und Säugetieren. Dtsch Arch Physiol 1818; 403
    PubMedGoogle Scholar
  • 4 Ecker A. Bildungsfchler des pancreas und Herzens. Z Art Med 1862; 354
    PubMedGoogle Scholar
  • 5 Sirasanagandla SR, Nayak SB, Bhat KM. A rare congenital anomaly of the pancreas: a cadaveric case report. JOP 2013; 14 (04) 454-457
    PubMedGoogle Scholar
  • 6 Baggott BB, Long WB. Annular pancreas as a cause of extrahepatic biliary obstruction. Am J Gastroenterol 1991; 86 (02) 224-226
    PubMedGoogle Scholar
  • 7 Ravitch MM, Woods Jr AC. Annular pancreas. Ann Surg 1950; 132 (06) 1116-1127
    CrossrefPubMedGoogle Scholar
  • 8 Leeco TM. Zur Morphologie des Pancrease. Sitzungsb Akad Wiss Math-Nat Ki Wien 1910; 119: 391-406
    PubMedGoogle Scholar
  • 9 Baldwin WM. A specimen of annular pancreas. Anat Rec 1910; 4: 299-304
    CrossrefPubMedGoogle Scholar
  • 10 Jarikji Z, Horb LD, Shariff F, Mandato CA, Cho KW, Horb ME. The tetraspanin Tm4sf3 is localized to the ventral pancreas and regulates fusion of the dorsal and ventral pancreatic buds. Development 2009; 136 (11) 1791-1800
    CrossrefPubMedGoogle Scholar
  • 11 Pantoja E, Nagy F, Thomas Jr HA, Zambernard J, Bartley MC. Annular pancreas. Med Radiogr Photogr 1985; 61 (03) 2-9
    PubMedGoogle Scholar
  • 12 Glazer G, Margulis A. Use of ERCP in Annular pancreas. Radiology 1979; 133: 303-306
    CrossrefPubMedGoogle Scholar
  • 13 Yogi Y, Kosai S, Higashi S, Iwamura T, Setoguchi T. Annular pancreas associated with pancreatolithiasis: a case report. Hepatogastroenterology 1999; 46 (25) 527-531
    PubMedGoogle Scholar
  • 14 Fu PF, Yu JR, Liu XS, Shen QY, Zheng SS. Symptomatic adult annular pancreas: report of two cases and a review of the literature. Hepatobiliary Pancreat Dis Int 2005; 4 (03) 468-471
    PubMedGoogle Scholar
  • 15 Sandrasegaran K, Patel A, Fogel EL, Zyromski NJ, Pitt HA. Annular pancreas in adults. AJR Am J Roentgenol 2009; 193 (02) 455-460
    CrossrefPubMedGoogle Scholar
  • 16 Zyromski NJ, Sandoval JA, Pitt HA. , et al. Annular pancreas: dramatic differences between children and adults. J Am Coll Surg 2008; 206 (05) 1019-1025 , discussion 1025–1027
    CrossrefPubMedGoogle Scholar
  • 17 Kandpal H, Bhatia V, Garg P, Sharma R. Annular pancreas in an adult patient: diagnosis with endoscopic ultrasonography and magnetic resonance cholangiopancreatography. Singapore Med J 2009; 50 (01) e29-e31
    PubMedGoogle Scholar
  • 18 Noh TH, Lee SE, Park JM. Laparoscopic treatment of annular pancreas in adults: report of a case. Korean J Hepatobiliary Pancreat Surg 2012; 16 (01) 43-45
    CrossrefPubMedGoogle Scholar
  • 19 Vinoth S, Sankaran PK, Jeevapriya T, Sivanandan R. Annular pancreas - A rare variation and its clinical significance. The Health Agenda 2015; 3 (03) 108-111
    PubMedGoogle Scholar
  • 20 Tadokoro H, Takase M, Nobukawa B. Development and congenital anomalies of the pancreas. Anat Res Int 2011; 2011: 351217
    PubMedGoogle Scholar
  • 21 Hebrok M, Kim SK, St Jacques B, McMahon AP, Melton DA. Regulation of pancreas development by hedgehog signaling. Development 2000; 127 (22) 4905-4913
    PubMedGoogle Scholar
  • 22 Hendricks SK, Sybert VP. Association of annular pancreas and duodenal obstruction--evidence for Mendelian inheritance?. Clin Genet 1991; 39 (05) 383-385
    PubMedGoogle Scholar
  • 23 Li Q, Zhang Z, Yan Y. , et al. Annular pancreas in Trichorhinophalangeal syndrome type II with 8q23.3-q24.12 interstitial deletion. Mol Cytogenet 2015; 8: 95
    CrossrefPubMedGoogle Scholar
  • 24 Maker V, Gerzenshtein J, Lerner T. Annular pancreas in the adult: two case reports and review of more than a century of literature. Am Surg 2003; 69 (05) 404-410
    PubMedGoogle Scholar
  • 25 Jarry J, Wagner T, Rault A, Sa Cunha A, Collet D. Annular pancreas: a rare cause of acute pancreatitis. JOP 2011; 12 (02) 155-157
    PubMedGoogle Scholar
  • 26 Russo A, Ugon GA. Annular pancreas: case report and review of literature. Eur J Anat 2015; 19 (02) 197-200
    PubMedGoogle Scholar
  • 27 Nayak S, Pamidi N, George BM, Guru A. A strange case of double annular pancreas. JOP 2013; 14 (01) 96-98
    PubMedGoogle Scholar
  • 28 Urushihara N, Fukumoto K, Fukuzawa H. , et al. Recurrent pancreatitis caused by pancreatobiliary anomalies in children with annular pancreas. J Pediatr Surg 2010; 45 (04) 741-746
    CrossrefPubMedGoogle Scholar
  • 29 Chevallier P, Souci J, Buckley MJ, Oddo F, Hastier P, Diaine B. Annular pancreas: MR imaging including MR cholangiopancreatography (MRCP). Pancreas 1999; 18 (02) 216-218
    CrossrefPubMedGoogle Scholar
  • 30 Paraskevas G, Papaziogas B, Lazaridis C, Gigis P, Papaziogas T. Annular pancreas in adults: embryological development, morphology and clinical significance. Surg Radiol Anat 2001; 23 (06) 437-442
    PubMedGoogle Scholar
  • 31 Ladd AP, Madura JA. Congenital duodenal anomalies in the adult. Arch Surg 2001; 136 (05) 576-584
    PubMedGoogle Scholar
  • 32 Shan YS, Sy ED, Lin PW. Annular pancreas with obstructive jaundice: beware of underlying neoplasm. Pancreas 2002; 25 (03) 314-316
    CrossrefPubMedGoogle Scholar
  • 33 Urayama S, Kozarek R, Ball T. , et al. Presentation and treatment of annular pancreas in an adult population. Am J Gastroenterol 1995; 90 (06) 995-999
    PubMedGoogle Scholar