Pancreaticoduodenectomy for an Ampullary Region Carcinoma Occurred in Annular Pancreas Coexistent with Replaced Common Hepatic Artery
Introduction. Annular pancreas is a rare congenital abnormality characterized by a ring of pancreatic tissue surrounding the descending portion of the duodenum. Annular pancreas coexisting with replaced common hepatic artery which is also a rare anatomical variation has not been reported previously....
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2018/3258141 |
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| author | Ryuji Komine Atsushi Shimizu Kazuhiko Mori Keisuke Minamimura Toru Hirata Takashi Kobayashi Nobuo Toda Masaya Mori |
| author_facet | Ryuji Komine Atsushi Shimizu Kazuhiko Mori Keisuke Minamimura Toru Hirata Takashi Kobayashi Nobuo Toda Masaya Mori |
| author_sort | Ryuji Komine |
| collection | DOAJ |
| description | Introduction. Annular pancreas is a rare congenital abnormality characterized by a ring of pancreatic tissue surrounding the descending portion of the duodenum. Annular pancreas coexisting with replaced common hepatic artery which is also a rare anatomical variation has not been reported previously. Case Presentation. A 53-year-old man visited our hospital complaining of epigastric pain. Based on radiological examinations, he was diagnosed as having pancreatitis, annular pancreas, and hepatomesenteric trunk. One month later, obstructive jaundice developed. Endoscopic examination revealed ampullary region carcinoma. We performed pancreaticoduodenectomy using the “artery-first” approach. Discussion. Both annular pancreas and common hepatic artery anomaly are rare. High-quality preoperative imaging and awareness of such rare conditions are necessary for operative safety. Although the embryological relationship between these anomalies is uncertain, the present case may suggest some relevance between the two. Conclusion. The “artery-first” approach may be a useful method for pancreaticoduodenectomy in patients who have an anatomical abnormality. |
| format | Article |
| id | doaj-art-88f1c5ec6e94488a9c57f0ce43fafe2b |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-88f1c5ec6e94488a9c57f0ce43fafe2b2025-02-03T05:50:22ZengWileyCase Reports in Medicine1687-96271687-96352018-01-01201810.1155/2018/32581413258141Pancreaticoduodenectomy for an Ampullary Region Carcinoma Occurred in Annular Pancreas Coexistent with Replaced Common Hepatic ArteryRyuji Komine0Atsushi Shimizu1Kazuhiko Mori2Keisuke Minamimura3Toru Hirata4Takashi Kobayashi5Nobuo Toda6Masaya Mori7Department of General and Gastrointestinal Surgery, Mitsui Memorial Hospital, 1 Kanda Izumicho, Chiyoda-Ku, Tokyo 101-8643, JapanDepartment of General and Gastrointestinal Surgery, Mitsui Memorial Hospital, 1 Kanda Izumicho, Chiyoda-Ku, Tokyo 101-8643, JapanDepartment of General and Gastrointestinal Surgery, Mitsui Memorial Hospital, 1 Kanda Izumicho, Chiyoda-Ku, Tokyo 101-8643, JapanDepartment of General and Gastrointestinal Surgery, Mitsui Memorial Hospital, 1 Kanda Izumicho, Chiyoda-Ku, Tokyo 101-8643, JapanDepartment of General and Gastrointestinal Surgery, Mitsui Memorial Hospital, 1 Kanda Izumicho, Chiyoda-Ku, Tokyo 101-8643, JapanDepartment of General and Gastrointestinal Surgery, Mitsui Memorial Hospital, 1 Kanda Izumicho, Chiyoda-Ku, Tokyo 101-8643, JapanDepartment of Gastroenterology, Mitsui Memorial Hospital, 1 Kanda Izumicho, Chiyoda-ku, Tokyo 101-8643, JapanDepartment of Pathology, Mitsui Memorial Hospital, 1 Kanda Izumicho, Chiyoda-ku, Tokyo 101-8643, JapanIntroduction. Annular pancreas is a rare congenital abnormality characterized by a ring of pancreatic tissue surrounding the descending portion of the duodenum. Annular pancreas coexisting with replaced common hepatic artery which is also a rare anatomical variation has not been reported previously. Case Presentation. A 53-year-old man visited our hospital complaining of epigastric pain. Based on radiological examinations, he was diagnosed as having pancreatitis, annular pancreas, and hepatomesenteric trunk. One month later, obstructive jaundice developed. Endoscopic examination revealed ampullary region carcinoma. We performed pancreaticoduodenectomy using the “artery-first” approach. Discussion. Both annular pancreas and common hepatic artery anomaly are rare. High-quality preoperative imaging and awareness of such rare conditions are necessary for operative safety. Although the embryological relationship between these anomalies is uncertain, the present case may suggest some relevance between the two. Conclusion. The “artery-first” approach may be a useful method for pancreaticoduodenectomy in patients who have an anatomical abnormality.http://dx.doi.org/10.1155/2018/3258141 |
| spellingShingle | Ryuji Komine Atsushi Shimizu Kazuhiko Mori Keisuke Minamimura Toru Hirata Takashi Kobayashi Nobuo Toda Masaya Mori Pancreaticoduodenectomy for an Ampullary Region Carcinoma Occurred in Annular Pancreas Coexistent with Replaced Common Hepatic Artery Case Reports in Medicine |
| title | Pancreaticoduodenectomy for an Ampullary Region Carcinoma Occurred in Annular Pancreas Coexistent with Replaced Common Hepatic Artery |
| title_full | Pancreaticoduodenectomy for an Ampullary Region Carcinoma Occurred in Annular Pancreas Coexistent with Replaced Common Hepatic Artery |
| title_fullStr | Pancreaticoduodenectomy for an Ampullary Region Carcinoma Occurred in Annular Pancreas Coexistent with Replaced Common Hepatic Artery |
| title_full_unstemmed | Pancreaticoduodenectomy for an Ampullary Region Carcinoma Occurred in Annular Pancreas Coexistent with Replaced Common Hepatic Artery |
| title_short | Pancreaticoduodenectomy for an Ampullary Region Carcinoma Occurred in Annular Pancreas Coexistent with Replaced Common Hepatic Artery |
| title_sort | pancreaticoduodenectomy for an ampullary region carcinoma occurred in annular pancreas coexistent with replaced common hepatic artery |
| url | http://dx.doi.org/10.1155/2018/3258141 |
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