“Partial Annular Pancreas Causing Obstruction of the First Part of the Duodenum: An Exceedingly Rare Conundrum—A Rare Case Report and Comprehensive Literature Review”
ABSTRACT The annular pancreas is one of the very few congenital anomalies associated with gastric outlet obstruction. Usually, it is associated with obstruction of the second part of the duodenum, but to the authors' knowledge, this is the first reported case of the partial annular pancreas obs...
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| Format: | Article |
| Language: | English |
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Wiley
2025-07-01
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| Series: | Clinical Case Reports |
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| Online Access: | https://doi.org/10.1002/ccr3.70614 |
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| author | Saurav Jha Sabin Luitel Niraj Kushwaha Sweta Singh Sulav Kumar Jha |
| author_facet | Saurav Jha Sabin Luitel Niraj Kushwaha Sweta Singh Sulav Kumar Jha |
| author_sort | Saurav Jha |
| collection | DOAJ |
| description | ABSTRACT The annular pancreas is one of the very few congenital anomalies associated with gastric outlet obstruction. Usually, it is associated with obstruction of the second part of the duodenum, but to the authors' knowledge, this is the first reported case of the partial annular pancreas obstructing the first part of the duodenum, leading to late presentation of gastric outlet obstruction. As clinicians, we should be vigilant about the causes of abdominal fullness and pain and consider the annular pancreas an important differential diagnosis. It also challenges our predetermined concept of obstruction of the second part of the duodenum secondary to the annular pancreas. Even though the annular pancreas rarely obstructs the first part of the duodenum, it should always be kept in the back of our mind while diagnosing and managing elderly patients presenting with features of gastric outlet obstruction. This paper highlights the atypical presentation of the annular pancreas and how appropriate radiological investigation can clinch the uncommon diagnosis and help in the appropriate management. |
| format | Article |
| id | doaj-art-59d9a5da6978425395dffb0b56ab5e52 |
| institution | Kabale University |
| issn | 2050-0904 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj-art-59d9a5da6978425395dffb0b56ab5e522025-08-21T03:26:08ZengWileyClinical Case Reports2050-09042025-07-01137n/an/a10.1002/ccr3.70614“Partial Annular Pancreas Causing Obstruction of the First Part of the Duodenum: An Exceedingly Rare Conundrum—A Rare Case Report and Comprehensive Literature Review”Saurav Jha0Sabin Luitel1Niraj Kushwaha2Sweta Singh3Sulav Kumar Jha4Department of Radiology Patan Academy of Health Sciences Kathmandu NepalDepartment of Radiology Patan Academy of Health Sciences Kathmandu NepalChitwan Medical College Chitwan NepalB.P Koirala Institute of Health Sciences Dharan NepalManipal College of Medical Sciences Pokhara NepalABSTRACT The annular pancreas is one of the very few congenital anomalies associated with gastric outlet obstruction. Usually, it is associated with obstruction of the second part of the duodenum, but to the authors' knowledge, this is the first reported case of the partial annular pancreas obstructing the first part of the duodenum, leading to late presentation of gastric outlet obstruction. As clinicians, we should be vigilant about the causes of abdominal fullness and pain and consider the annular pancreas an important differential diagnosis. It also challenges our predetermined concept of obstruction of the second part of the duodenum secondary to the annular pancreas. Even though the annular pancreas rarely obstructs the first part of the duodenum, it should always be kept in the back of our mind while diagnosing and managing elderly patients presenting with features of gastric outlet obstruction. This paper highlights the atypical presentation of the annular pancreas and how appropriate radiological investigation can clinch the uncommon diagnosis and help in the appropriate management.https://doi.org/10.1002/ccr3.70614annular pancreascase reportsduodenum |
| spellingShingle | Saurav Jha Sabin Luitel Niraj Kushwaha Sweta Singh Sulav Kumar Jha “Partial Annular Pancreas Causing Obstruction of the First Part of the Duodenum: An Exceedingly Rare Conundrum—A Rare Case Report and Comprehensive Literature Review” Clinical Case Reports annular pancreas case reports duodenum |
| title | “Partial Annular Pancreas Causing Obstruction of the First Part of the Duodenum: An Exceedingly Rare Conundrum—A Rare Case Report and Comprehensive Literature Review” |
| title_full | “Partial Annular Pancreas Causing Obstruction of the First Part of the Duodenum: An Exceedingly Rare Conundrum—A Rare Case Report and Comprehensive Literature Review” |
| title_fullStr | “Partial Annular Pancreas Causing Obstruction of the First Part of the Duodenum: An Exceedingly Rare Conundrum—A Rare Case Report and Comprehensive Literature Review” |
| title_full_unstemmed | “Partial Annular Pancreas Causing Obstruction of the First Part of the Duodenum: An Exceedingly Rare Conundrum—A Rare Case Report and Comprehensive Literature Review” |
| title_short | “Partial Annular Pancreas Causing Obstruction of the First Part of the Duodenum: An Exceedingly Rare Conundrum—A Rare Case Report and Comprehensive Literature Review” |
| title_sort | partial annular pancreas causing obstruction of the first part of the duodenum an exceedingly rare conundrum a rare case report and comprehensive literature review |
| topic | annular pancreas case reports duodenum |
| url | https://doi.org/10.1002/ccr3.70614 |
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