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Bouassida Mahdi, Sassi Selim, Touinsi Hassen, Mighri Mohamed Mongi, Chtourou Mohamed Fadhel, Chebbi Fathi, Sassi Sadok. A rare cause of proximal intestinal obstruction in adults: annular pancreas: a case report. The Pan African Medical Journal. 2011;10:56 Key words: Annular pancreas, duodenal stenosis, bypass. Permanent link: http://www.panafrican-med-journal.com/content/article/10/56/full Received: 04/08/2011 - Accepted: 21/11/2011 - Published: 18/12/2011 © Bouassida Mahdi et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
A rare cause of proximal intestinal obstruction in adults: annular pancreas: a case report
Bouassida Mahdi1,&, Sassi Selim1, Touinsi Hassen1, Mighri Mohamed Mongi1, Chtourou Mohamed Fadhel1, Chebbi Fathi1, Sassi Sadok1
1Department of surgery, Mohamed Tahar Maamouri hospital, Nabeul, Tunisia
&Corresponding author
Bouassida Mahdi, Hopital Mohamed Tahar Maamouri 8000 Nabeul, Tunisia
Annular pancreas is a rare congenital anomaly characterized by the presence of ectopic pancreatic tissue surrounding the descending part of the duodenum. It is one of the few congenital anomalies of the gastrointestinal tract which can produce symptoms late in life. In adults, the factors initiating symptoms are recurrent pancreatitis, duodenal stenosis at the site of the annulus, or duodenal or gastric ulceration. We report a new case involving a 24-year-old woman hospitalised for epigastric pain, nausea and vomiting. Radiological examination was consisted with an annular pancreas. At operation a complete obstruction of the second part of the duodenum was found, caused by an annular pancreas, no other congenital anomaly of the intra-abdominal organs was noted. A gastroenterostomy was performed.
