Open AccessRelief pain of symptomatic annular pancreas in adults: A report of two cases
Author(s) -
Shie ChangBih,
Lu ICheng,
Wu ITing
Publication year - 2021
Publication title -
advances in digestive medicine
Language(s) - English
Resource type - Journals
ISSN - 2351-9800
DOI - 10.1002/aid2.13215
Subject(s) - medicine , asymptomatic , epigastric pain , abdominal pain , jaundice , annular pancreas , pancreatitis , gastric outlet obstruction , pancreas , acute pancreatitis , biliary colic , abdomen , surgery , gastroenterology , general surgery , vomiting , cholecystectomy
Annular pancreas is a rare disease and was first described by Tiedman in 1818. The anomaly is often discovered in neonates or during the first year of life. The clinical presentation can be less severe in the case of young children, and the anomaly can remain asymptomatic and may be discovered fortuitously in adult patients. In adult patients with annular pancreas, the common symptoms include cramping epigastric pain and postprandial abdominal fullness. Associated conditions include duodenal ulcers, acute pancreatitis, carcinoma of the pancreatic head, biliary colic in association with biliary obstruction and jaundice, and obstruction of the gastric outlet. Here, we successfully treated the cases of two adult patients with symptomatic annular pancreas, and we discuss the available diagnostic and therapeutic modalities for the same.