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An annular pancreas associated with carcinoma of the papilla of Vater: report of a case

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Abstract

An annular pancreas is an uncommon congenital anomaly that usually presents early in childhood. Malignancy in the setting of an annular pancreas is unusual. We herein report a case of annular pancreas with carcinoma of the papilla of Vater. A 59-year-old man presented with epigastric discomfort and was referred to us after gastroduodenal endoscopy showed a tumor of the papilla of Vater. Preoperative imaging showed the pancreatic parenchyma encircling the descending duodenum and a tumor at the papilla of Vater. A pancreaticoduodenectomy was performed for the annular pancreas and the ampullary tumor. Histological examination confirmed a complete annular pancreas and carcinoma in situ of the papilla of Vater. We also provide a review of the reported cases of an annular pancreas with periampullary neoplasms and discuss the clinical characteristics of this anomaly.

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Authors and Affiliations

  1. Department of Surgery, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, 259-1193, Japan

    Naoki Yazawa, Toshihide Imaizumi, Daisuke Furukawa, Masahiro Matsuyama, Hisashi Gunji, Kenichiro Kato, Kosuke Tobita, Toshio Nakagohri, Hiroyasu Makuuchi & Kyoji Ogoshi

  2. Department of Pathology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, 259-1193, Japan

    Kenichi Hirabayashi

Authors
  1. Naoki Yazawa
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  2. Toshihide Imaizumi
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  3. Daisuke Furukawa
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  4. Masahiro Matsuyama
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  5. Hisashi Gunji
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  6. Kenichiro Kato
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  7. Kosuke Tobita
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  8. Toshio Nakagohri
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  9. Hiroyasu Makuuchi
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  10. Kenichi Hirabayashi
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  11. Kyoji Ogoshi
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Correspondence to Naoki Yazawa.

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Yazawa, N., Imaizumi, T., Furukawa, D. et al. An annular pancreas associated with carcinoma of the papilla of Vater: report of a case. Surg Today 42, 497–501 (2012). https://doi.org/10.1007/s00595-011-0055-y

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  • DOI: https://doi.org/10.1007/s00595-011-0055-y

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