Annular pancreas causing extrahepatic biliary obstruction

Mateja Ogulin (Author), Breda Jamar (Author)

Abstract

Backgronnd. Annular pancreas is an uncommon congenital abnormality, consistingof a flat band of pancreatic tissue, which encircles duodenum or extrahepatic biliary duct. We present a case of obstructive jaundice, caused by annular pancreas. Case report. A 46 years old female was admitted because of a sudden onset of abdominal pain, vomiting and jaundice. For the last six years she occasionally noticed her skin was light yellow, in the last year shefelt distension in the upper abdomen, especially after fatty meals. Conclusions. Two US examinations, the first one six months before the admission, showed dilated hepatic ducts. The reason of dilatation was unclear,even after the endoscopic US examination. At operation an almost complete obstruction of the common hepatic duct was found, caused by a narrow band of pancreatic tissue.

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Data

Language:	Slovenian
Year of publishing:	2004
Typology:	1.04 - Professional Article
Organization:	OI - Institute of Oncology
Publisher:	Association of Radiology and Oncology
UDC:	616-07
COBISS:	19026649
ISSN:	1318-2099
Parent publication:	Radiology and oncology
Views:	44
Downloads:	14
Average score:	0 (0 votes)
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Other data

Secondary language:	English
Secondary title:	Anularni pankreas, vzrok izvenjetrne zapore: prikaz primera
Secondary abstract:	Izhodišča. Anularni pankreas, redka prirojena anomalija, je trak pankreatičnega tkiva, ki obkroža dvanajstnik ali izvenjetrni žolčni vod. Prikazujemo primer anularnega pankreasa, ki je povzročil izvenjetrno zaporo odtoka žolča. Prikaz primera. 46-letna ženska je prišla v urgentno ambulanto zaradi nenadnih bolečin v trebuhu, bruhanja in zlatenice. V zadnjih šestih letih je občasno opazila rumenkasto obarvanje kože, v zadnjem letu pa je občutila napetost v zgornjem delu trebuha, predvsem po mastnih obrokih. Zaključki. Dve ultrazvočni preiskavi, prva pred šestimi meseci, sta pokazali razširitev glavnega izvenjetrnega voda in jetrnih žolčnih izvodil. Vzrok za razširitev je ostal nejasen, tudi po endoskopski ultrazvočni preiskavi. Pri operaciji so našli skoraj popolno zaporo izvenjetrenega žolčnega voda, ki jo je povzročal traček pankreatičnega tkiva.
Secondary keywords:	Pancreas;Abnormalities;Bile Duct Obstruction, Extrahepatic;Cholangiopancreatography, Endoscopic Retrograde;Middle Age;Holangiopankreatografija endoskopska, retrogradna;Trebušna slinavka;Žolčevodi, obstrukcija ekstrahepatična;Srednja leta;
URN:	URN:NBN:SI
Source comment:	BSDOCID112281;
Pages:	str. 323-327
Volume:	ǂLetn. ǂ38
Issue:	ǂšt. ǂ4
Chronology:	2004
ID:	22859833