Annular pancreas

Case contributed by Vitalii Rogalskyi
Diagnosis certain

Presentation

Incidental finding. No gastrointestinal complaints.

Patient Data

Age: 70 years
Gender: Female

CT abdomen

ct
This study is a stack
Coronal C+
arterial phase
This study is a stack
Sagittal C+
arterial phase
This study is a stack
Axial C+
arterial phase
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Info

CT of the abdomen demonstrates the second part of the duodenum encircling by pancreatic tissue (best seen on axial scans). But otherwise the pancreas is unremarkable. No common bile duct or duct of Wirsung dilatation.

Also hepatic simple cysts noted.

Annotated image
curved
axial
curved
axial
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Info

Curved axial image shows lumen of duodenum (red circle) surrounding by pancreatic tissue.

Case Discussion

This case shows incidental anomaly, a complete annular pancreas. The patient does not have any symptoms, although this anomaly can cause duodenal obstruction.

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