African Journal of Paediatric Surgery

ORIGINAL ARTICLE
Year
: 2022  |  Volume : 19  |  Issue : 2  |  Page : 97--101

Annular pancreas in neonates; Case series and review of literatures


Haithem Hussein Ali Almoamin1, Sadik Hassan Kadhem2, Ansam Mahmood Saleh3 
1 Department of Surgery, University of Basrah, Al-Zahraa College of Medicine, Consultant, Basrah Children Specialty Hospital, Iraq
2 Department of Surgery, University of Basrah, Al-Zahraa College of Medicine, Basrah Children Specialty Hospital, Iraq
3 Department of Paediatric, Basrah Children Specialty Hospital, Iraq

Correspondence Address:
Dr. Haithem Hussein Ali Almoamin
Assistant Professor, University of Basrah,Al-Zahraa College of Medicine, Consultant, Basrah Children Specialty Hospital, Basrah
Iraq

Background: The annular pancreas is a rare congenital disorder of the pancreas first recognized in 1818. It is believed to result from faulty rotation of the ventral pancreatic bud in its course around the posterior aspect of the duodenal anlage. The duodenum is encircled and might be obstructed by normal pancreatic tissue. The management of the annular pancreas is still developing and under revision. Case Presentation: Six cases of neonatal intestinal obstruction secondary to the annular pancreas diagnosed, operated on, and involved in our study. Age, gender, maturity, age at referral, birth weight, clinical presentation, imaging findings, associated congenital anomalies, treatment, complications, and hospital stay were all studied. Polyhydramnios is found in 3 cases (50%). Down syndrome was diagnosed in one case. One patient has associated malrotation. Symptoms started earlier within the first 24 hours. Vomiting was bile stained in 4 cases (66.7%). Passing meconium, sometimes frequent, does not exclude the annular pancreas. Most patients show double bubbles sign on plain abdominal X-ray. All six neonates were treated with duodenoduodenostomy with excellent results. Survival was 100% and complications were minimum. Conclusion: The annular pancreas, although rare, is an important cause of neonatal duodenal obstruction. The accurate diagnosis is usually performed during laparotomy. Vomiting may contain bile or not, furthermore, passing meconium does not exclude this condition. The best and the excellent surgical option is diamond duodenoduodenostomy. This case series might be added to the registered cases of the annular pancreas to standardize the method of diagnosis and to define the best management.


How to cite this article:
Ali Almoamin HH, Kadhem SH, Saleh AM. Annular pancreas in neonates; Case series and review of literatures.Afr J Paediatr Surg 2022;19:97-101


How to cite this URL:
Ali Almoamin HH, Kadhem SH, Saleh AM. Annular pancreas in neonates; Case series and review of literatures. Afr J Paediatr Surg [serial online] 2022 [cited 2022 Sep 29 ];19:97-101
Available from: https://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2022;volume=19;issue=2;spage=97;epage=101;aulast=Ali;type=0