AI Article Synopsis
- Annular pancreas is a rare condition often diagnosed in adults years after it develops, commonly mistaken for pancreatitis or digestive issues.
- A case study describes a 28-year-old woman who experienced bowel obstruction symptoms during pregnancy, which led to the discovery of a partial annular pancreas compressing her duodenum.
- After unsuccessful conservative treatments, she underwent surgery for a gastrojejunal bypass and recovered well, highlighting the need for careful monitoring and diagnosis of similar symptoms during pregnancy.
Article Abstract
Annular pancreas is a rare embryonal abnormality. Its manifestation in adulthood is often pinpointed with a substantial delay, which is most often attributed to pancreatitis, biliary pathology or dyspepsia. We present a case of a 28-year-old woman who had exacerbating symptoms of high bowel obstruction from 20th week of pregnancy, progressing after premature delivery. Diagnostic work-up revealed partial annular pancreas compressing the duodenum. Despite attempts of conservative treatment, her state deteriorated to such an extent that surgery was indicated and gastrojejunal bypass created. Her postoperative recovery was uneventful. In cases in which symptoms of high bowel obstruction in pregnancy persist and prostration occurs, we suggest close monitoring and a more thorough diagnostic approach. The question remains whether annular pancreas presents a cause of pathologic findings, a cofactor, or a mere accidental diagnosis in the development of superposed pathologies.
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Article Synopsis
- * During a diagnostic laparoscopy, surgeons opted for a primary division of the annular pancreas instead of a gastrojejunostomy due to the patient's clear anatomy and extensive abdominal adhesions.
- * One year later, the patient shows significant symptom relief and radiological improvement, suggesting this surgical approach is effective with reduced recovery time compared to more invasive procedures.
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