Skip to main content
SpringerLink
Log in

A pediatric case of an unusual type of annular pancreas presenting with duodenopancreatic reflux

  • Case Report
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

Abstract

Pancreatitis, a late complication of an annular pancreas (AP), results from coexisting pancreaticobiliary malformations including pancreas divisum (PD), and pancreaticobiliary maljunction (PBM). The authors report the case of a 3-year-old boy with an unusual type of AP in which the dorsal anlage encircled the duodenum. The patient developed duodenal obstruction as well as duodenopancreatic reflux with resulting hyperamylasemia and hyperlipasemia. This type of AP associated with duodenopancreatic reflux in AP has not been reported previously. The patient was successfully treated by duodenoduodenostomy, which, by correcting the duodenopancreatic reflux, prevented the later development of pancreatitis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

References

  1. Jimenez JC, Emil S, Podnos Y, Nguyen N (2004) Annular pancreas in children: a recent decade’s experience. J Pediatr Surg 39:1654–1657

    Article  PubMed  Google Scholar 

  2. Escobar MA, Ladd AP, Grosfeld JL et al (2004) Duodenal atresia and stenosis: long-term follow-up over 30 years. J Pediatr Surg 39:867–871

    Article  PubMed  Google Scholar 

  3. Lin YT, Chang MH, Hsu HY, Lai HS, Chen CC (1998) A follow-up study of annular pancreas in infants and children. Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi 39:89–93

    PubMed  CAS  Google Scholar 

  4. Zyromski NJ, Sandoval JA, Pitt HA, Ladd AP, Fogel EL, Mattar WE, Sandrasegaran K, Amrhein DW, Rescorla FJ, Howard TJ, Lillemoe KD, Grosfeld JL (2008) Annular pancreas: dramatic differences between children and adults. J Am Coll Surg 206:1019–1025

    Article  PubMed  Google Scholar 

  5. Yogi Y, Kosai S, Higashi S, Iwamura T, Setoguchi T (1999) Annular pancreas associated with pancreatolithiasis: a case report. Hepatogastroenterology 46:527–531

    PubMed  CAS  Google Scholar 

  6. Urayama S, Kozarek R, Ball T, Brandabur J, Traverso L, Ryan J, Wechter D (1995) Presentation and treatment of annular pancreas in an adult population. Am J Gastroenterol 90:995–999

    PubMed  CAS  Google Scholar 

  7. Urushihara N, Fukumoto K, Fukuzawa H, Suzuki K, Matsuoka T, Kawashima S, Watanabe K, Hasegawa S (2010) Recurrent pancreatitis caused by pancreatobiliary anomalies in children with annular pancreas. J Pediatr Surg 45:741–746

    Article  PubMed  Google Scholar 

  8. Ohno Y, Kanematsu T (2008) Annular pancreas causing localized recurrent pancreatitis in a child: report of a case. Surg Today 38:1052–1055

    Article  PubMed  Google Scholar 

  9. Yogi Y, Shibue T, Hashimoto S (1987) Annular pancreas detected in adults, diagnosed by endoscopic retrograde cholangiopancreatography: report of four cases. Gastroenterol Jpn 22:92–99

    PubMed  CAS  Google Scholar 

Download references

Author information

Author notes

  1. Hiroaki Komuro

    Present address: Department of Pediatric Surgery, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan

Authors and Affiliations

  1. Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, 305-8575, Japan

    Hiroaki Komuro, Chikashi Gotoh, Yasuhisa Urita, Jun Fujishiro & Toko Shinkai

Authors
  1. Hiroaki Komuro
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Chikashi Gotoh
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Yasuhisa Urita
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Jun Fujishiro
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Toko Shinkai
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hiroaki Komuro.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (PDF 19 kb)

Rights and permissions

Reprints and permissions

About this article

Cite this article

Komuro, H., Gotoh, C., Urita, Y. et al. A pediatric case of an unusual type of annular pancreas presenting with duodenopancreatic reflux. Pediatr Surg Int 28, 715–717 (2012). https://doi.org/10.1007/s00383-012-3065-y

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00383-012-3065-y

Keywords

Search

Navigation