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A rare cause of sub-acute proximal intestinal obstruction due to annular pancreas in a low-income setting.

Annular pancreas (AP) is a rare congenital anomaly due to an abnormal fusion between the tip of the ventral pancreatic bud and the duodenum at about the 7th gestational week and usually presents with symptoms due to duodenal obstruction. We here report a case of a 2-year-old girl who presented for i...

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Main Authors: Weledji, EP, Ngowe, MN, Mokake, M
Format: Article
Language:English
Published: Department of Surgery, UKM Medical Centre 2013
Online Access:http://journalarticle.ukm.my/6727/1/12-MS1114_%2865-67%29.pdf
http://journalarticle.ukm.my/6727/
http://jsurgacad.com/
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spelling my-ukm.journal.67272016-12-14T06:42:02Z http://journalarticle.ukm.my/6727/ A rare cause of sub-acute proximal intestinal obstruction due to annular pancreas in a low-income setting. Weledji, EP Ngowe, MN Mokake, M Annular pancreas (AP) is a rare congenital anomaly due to an abnormal fusion between the tip of the ventral pancreatic bud and the duodenum at about the 7th gestational week and usually presents with symptoms due to duodenal obstruction. We here report a case of a 2-year-old girl who presented for investigations of symptoms of a subacute proximal intestinal obstruction. Investigations revealed a partial duodenal obstruction and an exploratory laparotomy showed a partially obstructing annular pancreas for which she underwent a bypass procedure. A precise preoperative diagnosis of annular pancreas can be difficult without computerized tomography (CT) imaging and the diagnosis and surgical management decision may only be made at laparotomy. Children with atypical or mild symptoms of intestinal obstruction associated with failure to thrive should be investigated fully for a mechanical cause. Department of Surgery, UKM Medical Centre 2013-12 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/6727/1/12-MS1114_%2865-67%29.pdf Weledji, EP and Ngowe, MN and Mokake, M (2013) A rare cause of sub-acute proximal intestinal obstruction due to annular pancreas in a low-income setting. Journal of Surgical Academia, 3 (2). pp. 65-67. ISSN 2231-7481 http://jsurgacad.com/
institution Universiti Kebangsaan Malaysia
building Perpustakaan Tun Sri Lanang Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Kebangsaan Malaysia
content_source UKM Journal Article Repository
url_provider http://journalarticle.ukm.my/
language English
description Annular pancreas (AP) is a rare congenital anomaly due to an abnormal fusion between the tip of the ventral pancreatic bud and the duodenum at about the 7th gestational week and usually presents with symptoms due to duodenal obstruction. We here report a case of a 2-year-old girl who presented for investigations of symptoms of a subacute proximal intestinal obstruction. Investigations revealed a partial duodenal obstruction and an exploratory laparotomy showed a partially obstructing annular pancreas for which she underwent a bypass procedure. A precise preoperative diagnosis of annular pancreas can be difficult without computerized tomography (CT) imaging and the diagnosis and surgical management decision may only be made at laparotomy. Children with atypical or mild symptoms of intestinal obstruction associated with failure to thrive should be investigated fully for a mechanical cause.
format Article
author Weledji, EP
Ngowe, MN
Mokake, M
spellingShingle Weledji, EP
Ngowe, MN
Mokake, M
A rare cause of sub-acute proximal intestinal obstruction due to annular pancreas in a low-income setting.
author_facet Weledji, EP
Ngowe, MN
Mokake, M
author_sort Weledji, EP
title A rare cause of sub-acute proximal intestinal obstruction due to annular pancreas in a low-income setting.
title_short A rare cause of sub-acute proximal intestinal obstruction due to annular pancreas in a low-income setting.
title_full A rare cause of sub-acute proximal intestinal obstruction due to annular pancreas in a low-income setting.
title_fullStr A rare cause of sub-acute proximal intestinal obstruction due to annular pancreas in a low-income setting.
title_full_unstemmed A rare cause of sub-acute proximal intestinal obstruction due to annular pancreas in a low-income setting.
title_sort rare cause of sub-acute proximal intestinal obstruction due to annular pancreas in a low-income setting.
publisher Department of Surgery, UKM Medical Centre
publishDate 2013
url http://journalarticle.ukm.my/6727/1/12-MS1114_%2865-67%29.pdf
http://journalarticle.ukm.my/6727/
http://jsurgacad.com/
_version_ 1643736873374318592
score 13.211869

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