Laparoscopic Diagnosis of Annular Pancreas in a Patient with Mucinous Cystoadenoma of the Body of the Pancreas

Milone, Luca; Okhunov, Zhamshid; Gumbs, Andrew A.

doi:10.1007/s12029-010-9232-2

Cited by 6 publications

(3 citation statements)

References 3 publications

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“…Some children were suspected to have AP by prenatal ultrasonography. Although AP can be diagnosed with CT and MRI, [ 22 ] this abnormality is usually identified during laparotomy procedures or laparoscopic exploration. Diamond-shaped duodeno-duodenal anastomosis is the appropriate treatment for AP.…”

Section: Discussionmentioning

confidence: 99%

A newborn patient with both annular pancreas and Meckel's diverticulum

et al. 2018

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Rationale:Annular pancreas (AP) is recognized as a cause of duodenal obstruction in children, while children with Meckel's diverticulum (MD) are usually asymptomatic. Here we present a rare case with both AP and MD, which was identified by abdominal exploration during diamond-shaped duodenoduodenostomy.Patient concerns:A “double-bubble” sign was found by ultrasound at 35 week of pregnancy. After 39 weeks of pregnancy, the male patient was transferred to the Department of General Surgery, Children's Hospital of Soochow University because of a suspected duodenal stenosis.Diagnoses:Preoperative abdominal X-ray examination indicated “double-bubble” sign. AP was confirmed by exploratory surgery, with an MD located 30 cm above the ileocecal valve.Interventions:Diamond-shaped duodenoduodenostomy and a wedge resection of the intestine with end-to-end anastomosis were performedOutcomes:The patient recovered and his appetite was good without vomiting.Lessons:Our experience demonstrates that abdominal exploration is essential for children with gastrointestinal malformations.

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Section: Discussionmentioning

confidence: 99%

A newborn patient with both annular pancreas and Meckel's diverticulum

et al. 2018

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“…Systemic search of PubMed for publications in English was performed. Search terms were “annular pancreas,” “adult,” and “neoplasm.” Including our case, there are eight cases of pancreatic neoplasm associated with annular pancreas [ 6 – 12 ] (Table 1 ). The types of pancreatic neoplasm were as follows: four cases adenocarcinoma, two cases with mucinous cystic neoplasm, and one case with IPMN.…”

Section: Case Presentationmentioning

confidence: 99%

Intraductal papillary mucinous neoplasm in an annular pancreas: a case report

et al. 2015

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Annular pancreas is a rare anomaly in which a ring of pancreatic tissue encircles the second portion of the duodenum. We herein report a case involving a 79-year-old Japanese man with an intraductal papillary mucinous neoplasm (IPMN) of the pancreas. Imaging studies showed that the pancreatic tissue encircled the descending part of the duodenum and that a 30-mm-diameter cystic tumor was present in the annular segment, leading to the diagnosis of pancreatic IPMN. Limited pancreatic resection was successfully performed by careful division of the annular segment from the second portion of the duodenum. The postoperative course was uneventful, and the patient’s pancreatic function was retained without the need for supplementation. To the best of our knowledge, this is the first report of IPMN occurring in the annular segment of the pancreas. Limited resection of the pancreatic annular segment is a feasible surgical treatment for noninvasive IPMN of the annular pancreas.

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“…I remember calling my old boss to the operating room because I could not believe that the patient could have an annular pancreas wrapped around his duodenum that was not seen preoperatively. This patient was undergoing a laparoscopic distal pancreatectomy for a premalignant pancreatic cyst in the tail of the pancreas and had undergone every preoperative imaging exam of the pancreas imaginable (5). The innumerable diagnoses that can occur around the duodenal area is reinforced by this article of a paraganglioma that was initially believed to be a duodenal gastrointestinal stromal tumor (Zhang et al).…”

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confidence: 99%