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

作者：Komuro Hiroaki^*; Gotoh Chikashi; Urita Yasuhisa; Fujishiro Jun; Shinkai Toko

来源：Pediatric Surgery International, 2012, 28(7): 715-717.

DOI：10.1007/s00383-012-3065-y

• Annular pancreas
• Duodenal stenosis
• Pancreatitis
• Duodenopancreatic reflux

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.

• 出版日期2012-7