Annular pancreas

Case contributed by Dr Praveen Jha

Presentation

Epigastric pain. Endoscopy showed dilated D1 segment of duodenum.

Patient Data

Age: 60 years
Gender: Female
CT

Cholelithiasis was seen, with pancreatic parenchyma encircling the second part of duodenum. Common bile duct was also prominent (8 mm). MRCP was advised to rule out choledocholithasis and confirmation of annular pancreas

MRI

Annular pancreas was confirmed .

Case Discussion

This is a classical case of annular pancreas demonstrated on both CT and MRI.

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