A rare cause of sub-acute proximal intestinal obstruction due to annular pancreas in a low-income setting.
Annular pancreas (AP) is a rare congenital anomaly due to an abnormal fusion between the tip of the ventral pancreatic bud and the duodenum at about the 7th gestational week and usually presents with symptoms due to duodenal obstruction. We here report a case of a 2-year-old girl who presented for i...
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| Format: | Article |
| Language: | English |
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Department of Surgery, UKM Medical Centre
2013
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| Online Access: | http://journalarticle.ukm.my/6727/ http://journalarticle.ukm.my/6727/1/12-MS1114_%2865-67%29.pdf |
| _version_ | 1848811249884725248 |
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| author | Weledji, EP Ngowe, MN Mokake, M |
| author_facet | Weledji, EP Ngowe, MN Mokake, M |
| author_sort | Weledji, EP |
| building | UKM Institutional Repository |
| collection | Online Access |
| description | Annular pancreas (AP) is a rare congenital anomaly due to an abnormal fusion between the tip of the ventral pancreatic bud and the duodenum at about the 7th gestational week and usually presents with symptoms due to duodenal obstruction. We here report a case of a 2-year-old girl who presented for investigations of symptoms of a subacute proximal intestinal obstruction. Investigations revealed a partial duodenal obstruction and an exploratory laparotomy showed a partially obstructing annular pancreas for which she underwent a bypass procedure. A precise preoperative diagnosis of annular pancreas can be difficult without computerized tomography (CT) imaging and the diagnosis and surgical management decision may only be made at laparotomy. Children with atypical or mild symptoms of intestinal obstruction associated with failure to thrive should be investigated fully for a mechanical cause. |
| first_indexed | 2025-11-14T23:43:24Z |
| format | Article |
| id | oai:generic.eprints.org:6727 |
| institution | Universiti Kebangasaan Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T23:43:24Z |
| publishDate | 2013 |
| publisher | Department of Surgery, UKM Medical Centre |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | oai:generic.eprints.org:67272016-12-14T06:42:02Z http://journalarticle.ukm.my/6727/ A rare cause of sub-acute proximal intestinal obstruction due to annular pancreas in a low-income setting. Weledji, EP Ngowe, MN Mokake, M Annular pancreas (AP) is a rare congenital anomaly due to an abnormal fusion between the tip of the ventral pancreatic bud and the duodenum at about the 7th gestational week and usually presents with symptoms due to duodenal obstruction. We here report a case of a 2-year-old girl who presented for investigations of symptoms of a subacute proximal intestinal obstruction. Investigations revealed a partial duodenal obstruction and an exploratory laparotomy showed a partially obstructing annular pancreas for which she underwent a bypass procedure. A precise preoperative diagnosis of annular pancreas can be difficult without computerized tomography (CT) imaging and the diagnosis and surgical management decision may only be made at laparotomy. Children with atypical or mild symptoms of intestinal obstruction associated with failure to thrive should be investigated fully for a mechanical cause. Department of Surgery, UKM Medical Centre 2013-12 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/6727/1/12-MS1114_%2865-67%29.pdf Weledji, EP and Ngowe, MN and Mokake, M (2013) A rare cause of sub-acute proximal intestinal obstruction due to annular pancreas in a low-income setting. Journal of Surgical Academia, 3 (2). pp. 65-67. ISSN 2231-7481 http://jsurgacad.com/ |
| spellingShingle | Weledji, EP Ngowe, MN Mokake, M A rare cause of sub-acute proximal intestinal obstruction due to annular pancreas in a low-income setting. |
| title | A rare cause of sub-acute proximal intestinal obstruction due to annular pancreas in a low-income setting. |
| title_full | A rare cause of sub-acute proximal intestinal obstruction due to annular pancreas in a low-income setting. |
| title_fullStr | A rare cause of sub-acute proximal intestinal obstruction due to annular pancreas in a low-income setting. |
| title_full_unstemmed | A rare cause of sub-acute proximal intestinal obstruction due to annular pancreas in a low-income setting. |
| title_short | A rare cause of sub-acute proximal intestinal obstruction due to annular pancreas in a low-income setting. |
| title_sort | rare cause of sub-acute proximal intestinal obstruction due to annular pancreas in a low-income setting. |
| url | http://journalarticle.ukm.my/6727/ http://journalarticle.ukm.my/6727/ http://journalarticle.ukm.my/6727/1/12-MS1114_%2865-67%29.pdf |