Portal Annular Pancreas – A Case Report
Keywords:
Congenitalanomaly, Portal vein, Pancreatic resection
Abstract
Portal annular pancreas is one of the rarest congenital anomaly of the pancreas. This variation was noted in a formalin fixed male cadaver aged about 60yrs during the course of routine anatomy dissection in MVJ Medical college and research hospital.Here the pancreatic parenchyma not only enclosed the second part of duodenum but also had surrounded the portal vein (PV). Such a variation requires careful consideration by the surgeon and gastroenterologists while performing pancreatic resection and various other procedures pertaining to the pancreas and duodenum.
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References
1. Sugiura Y, Shima S, Yonekawa H, Yoshizumi Y, Ohtsuka H, Ogata T. The hypertrophic uncinate process of the pancreas wrapping the superior mesenteric vein and artery—a case report.Jpn J Surg 1987; 17:182-5. [PubMed]
2. Hamanaka Y, Evans J, Sagar G, Neoptolemos JP. Complete pancreatic encasement of the proximal hepatic portal vein: a previously undescribed congenital anomaly. Br J Surg 1997;84:785.
3. Marjanovic G, Obermaier R, Benz S, Bley T, Juettner E, Hopt UT, et al. Complete pancreatic encasement of the portal vein- surgical implication of an extremely rare anomaly. Langenbecks Arch Surg 2007;392:489-91. [PubMed]
4. Leyendecker JR, Baginski SG, Complete pancreatic encasement of the portal vein (circumportal pancreas): imaging findings and implications of a rare pancreatic anomaly. J Comput Assist Tomogr 2008;32:61-4. [PubMed]
5. Tatsuya Kin and James Shapiro AM, Surgical aspects of human islet isolation. Islets 2010;2(5): 265-273. [PubMed]
6. Karasaki H, Mizukami Y, Ishizaki A, Goto J, Yoshikawa D, Kino S, et al. Portal annular pancreas, a pancreatic malformation: Frequency, morphology, and implications for pancreatic surgery. Surgery.2009;146:515–8.
7. Ishigami K, Tajima T, Nishie A, Asayama Y, Kakihara D, Nakayama T, et al. The prevalence of circumportal pancreas as shown by multidetector-row computed tomography. Insights Imaging.2011;2:409–14. [PubMed]
8. Kin T, Shapiro AMJ, Lakey JRT. Pancreas divisum: study in the cadaveric donor pancreas for islet isolation. Pancreas.2005;30:325-7. [PubMed]
9. Kin T, Shapiro AMJ, Ryan EA, Lakey JRT. Islet isolation and transplantation from an annular pancreas: a case report. J Pancreas.2005;6:274-6. [PubMed]
10. Ferrer J, Scott WE, 3rd, Weegman BP, Suszynski TM, Sutherland DER, Hering BJ, et al. Pig pancreas anatomy: implications for pancreas procurement, preservation and islet isolation. Transplantation.2008; 86:1503-10.
11. Gittes GK. Developmental biology of the pancreas: A comprehensive review. Dev Biol. 2009;326:4-35. [PubMed]
12. Hwang SS, Paik CN, Lee KM, et al. Recurrent acute pancreatitis caused by an annular pancreas in a child. GastrointestEndosc.2010;72:848-849. [PubMed]
13. Joseph P, Raju RS, Vyas FL, Eapen A, Sitaram V. Portal annular pancreas. A rare variant and a new classification.JOP. 2010;11:453–5. [PubMed]
14. Gonoi W, Akahane M, Akai H, Hagiwara K, Kiryu S, Hayashi N, et al. Retroportal main pancreatic duct with circumportal pancreas: Radiographic visualization. Clin Imaging. 2011;35:442–6. [PubMed]
15. Matsumoto I, Shinzeki M, Fukumoto T, Ku Y. An extremely rare portal annular pancreas for pancreatico-duodenectomy with a special note on the pancreatic duct management in the dorsal pancreas.Surgery. 2013 Mar;153(3):434-6.
2. Hamanaka Y, Evans J, Sagar G, Neoptolemos JP. Complete pancreatic encasement of the proximal hepatic portal vein: a previously undescribed congenital anomaly. Br J Surg 1997;84:785.
3. Marjanovic G, Obermaier R, Benz S, Bley T, Juettner E, Hopt UT, et al. Complete pancreatic encasement of the portal vein- surgical implication of an extremely rare anomaly. Langenbecks Arch Surg 2007;392:489-91. [PubMed]
4. Leyendecker JR, Baginski SG, Complete pancreatic encasement of the portal vein (circumportal pancreas): imaging findings and implications of a rare pancreatic anomaly. J Comput Assist Tomogr 2008;32:61-4. [PubMed]
5. Tatsuya Kin and James Shapiro AM, Surgical aspects of human islet isolation. Islets 2010;2(5): 265-273. [PubMed]
6. Karasaki H, Mizukami Y, Ishizaki A, Goto J, Yoshikawa D, Kino S, et al. Portal annular pancreas, a pancreatic malformation: Frequency, morphology, and implications for pancreatic surgery. Surgery.2009;146:515–8.
7. Ishigami K, Tajima T, Nishie A, Asayama Y, Kakihara D, Nakayama T, et al. The prevalence of circumportal pancreas as shown by multidetector-row computed tomography. Insights Imaging.2011;2:409–14. [PubMed]
8. Kin T, Shapiro AMJ, Lakey JRT. Pancreas divisum: study in the cadaveric donor pancreas for islet isolation. Pancreas.2005;30:325-7. [PubMed]
9. Kin T, Shapiro AMJ, Ryan EA, Lakey JRT. Islet isolation and transplantation from an annular pancreas: a case report. J Pancreas.2005;6:274-6. [PubMed]
10. Ferrer J, Scott WE, 3rd, Weegman BP, Suszynski TM, Sutherland DER, Hering BJ, et al. Pig pancreas anatomy: implications for pancreas procurement, preservation and islet isolation. Transplantation.2008; 86:1503-10.
11. Gittes GK. Developmental biology of the pancreas: A comprehensive review. Dev Biol. 2009;326:4-35. [PubMed]
12. Hwang SS, Paik CN, Lee KM, et al. Recurrent acute pancreatitis caused by an annular pancreas in a child. GastrointestEndosc.2010;72:848-849. [PubMed]
13. Joseph P, Raju RS, Vyas FL, Eapen A, Sitaram V. Portal annular pancreas. A rare variant and a new classification.JOP. 2010;11:453–5. [PubMed]
14. Gonoi W, Akahane M, Akai H, Hagiwara K, Kiryu S, Hayashi N, et al. Retroportal main pancreatic duct with circumportal pancreas: Radiographic visualization. Clin Imaging. 2011;35:442–6. [PubMed]
15. Matsumoto I, Shinzeki M, Fukumoto T, Ku Y. An extremely rare portal annular pancreas for pancreatico-duodenectomy with a special note on the pancreatic duct management in the dorsal pancreas.Surgery. 2013 Mar;153(3):434-6.
CITATION
DOI: 10.17511/ijmrr.2014.i03.16
Published: 2014-06-30
How to Cite
1.
G P, KL V, N Nayak J. Portal Annular Pancreas – A Case Report. Int J Med Res Rev [Internet]. 2014Jun.30 [cited 2024Nov.25];2(3):259-61. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/99
Section
Case Report
OAI - Open Archives Initiative
