成年后的环状胰腺：两个令人信服的病例，其中一人患有幽门狭窄和慢性胰腺炎

Q2 Medicine

Medical Journal Armed Forces India Pub Date : 2025-07-01 DOI:10.1016/j.mjafi.2023.12.012

Vipan Kumar , Mohanasundaram Avudaiappan , Pardeep K. Sharma , Vikas Gupta

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引用次数: 0

摘要

我们报告罕见的发生环状胰腺（AP）在成人提出两个显着的情况下。第一个病例是在一个诊断为慢性胰腺炎的病人中偶然发现AP。由于幽门狭窄导致胃出口梗阻，手术干预是必要的。患者行胃空肠环状吻合术（GJ）和十二指肠空肠吻合术（DJ）。第二例评估消化不良症状，腹部增强CT诊断AP。以环路DJ的形式进行旁路手术以解决阻塞。这两个案例强调了AP的独特表现，并强调了在其管理中需要量身定制的策略。

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Annular pancreas in adulthood: Two compelling cases, including one with pyloric stenosis and chronic pancreatitis

We report the infrequent occurrence of the annular pancreas (AP) in adults by presenting two remarkable cases. The first case involved an incidental discovery of an AP in a patient diagnosed with chronic pancreatitis. Surgical intervention was warranted due to gastric outlet obstruction resulting from pyloric stenosis. The patient underwent loop gastrojejunostomy (GJ) and duodenojejunostomy (DJ). The second case was evaluated for dyspeptic symptoms, and the AP was diagnosed on the contrast-enhanced abdomen CT. A bypass procedure in the form of loop DJ was performed to address the obstruction. These two cases underscore the distinctive presentations of AP and highlight the need for tailored strategies in their management.

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来源期刊

Medical Journal Armed Forces India Medicine-Medicine (all)

CiteScore

3.40

自引率

0.00%

发文量

206

期刊介绍： This journal was conceived in 1945 as the Journal of Indian Army Medical Corps. Col DR Thapar was the first Editor who published it on behalf of Lt. Gen Gordon Wilson, the then Director of Medical Services in India. Over the years the journal has achieved various milestones. Presently it is published in Vancouver style, printed on offset, and has a distribution exceeding 5000 per issue. It is published in January, April, July and October each year.