Annular pancreas: Radiological features of a rare case of infantile vomiting.
Annular pancreas
Imaging
Pediatrics
Vomiting
Journal
Radiology case reports
ISSN: 1930-0433
Titre abrégé: Radiol Case Rep
Pays: Netherlands
ID NLM: 101467888
Informations de publication
Date de publication:
Nov 2022
Nov 2022
Historique:
received:
28
04
2022
revised:
14
08
2022
accepted:
18
08
2022
entrez:
3
10
2022
pubmed:
4
10
2022
medline:
4
10
2022
Statut:
epublish
Résumé
Our purpose is to illustrate the radiological aspects of the annular pancreas as an etiology of duodenal obstruction in infants. We report the case of a 4-month-old girl, who was admitted to our department with postprandial vomiting evolving since birth. The initial examination found a severely dehydrated patient. Abdominal ultrasound showed gross dilatation of the stomach and duodenum, it also showed pancreatic tissue surrounding the duodenum, suggesting a diagnosis of annular pancreas as the cause of the duodenal obstruction. Post-contrast abdominal CT showed the gastric and duodenal dilatation, and a ring of pancreatic tissue surrounding uncompletly the second portion of the duodenum. The patient underwent a bypass surgery which consisted in a duodeno-duodenostomy with simple post-operative follow-up and no recurrence of digestive symptoms. Annular pancreas is a rare pathology to be sought in neonatal obstruction. A good knowledge of radiological semiology is essential for a good diagnostic approach. However, surgery is the only effective way to diagnose and treat this pathology.
Identifiants
pubmed: 36188077
doi: 10.1016/j.radcr.2022.08.063
pii: S1930-0433(22)00725-7
pmc: PMC9520511
doi:
Types de publication
Case Reports
Langues
eng
Pagination
4449-4452Informations de copyright
© 2022 Published by Elsevier Inc. on behalf of University of Washington.
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