Circumportal Pancreas - A Rare Case
DOI:
https://doi.org/10.47672/ajhmn.1073Keywords:
Circumportal pancreas, portal vein, post-operative pancreatic fistulaAbstract
Circumportal pancreas is a rare anatomical variant in which anomalous pancreatic parenchyma entirely encircles the portal vein. A 60 years old female presented to us for CT enteroclysis with complaint of diffuse abdominal pain. Infrasplenic circumportal pancreas with anteportal pancreatic duct was reported, which is an incidental finding. It presents a diagnostic challenge for a radiologist because misinterpretation of circumportal pancreas as a pancreatic head mass can have a significant impact on clinical outcomes i.e. postoperative pancreatic fistula and can help surgeon to plan better approach for pancreatectomies.
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References
Kim SS, Shin HC, Hwang JA. Various congenital abnormalities and anatomic variants of the pancreas: A pictorial review. Journal of the Belgian Society of Radiology. 2019;103(1).
Yu J, Turner MA, Fulcher AS, Halvorsen RA. Congenital anomalies and normal variants of the pancreaticobiliary tract and the pancreas in adults: part 2, Pancreatic duct and pancreas. American Journal of Roentgenology. 2006 Dec;187(6):1544-53.
Ehrhardt JD, Gomez F. Embryology, Pancreas.
Kabir T, Xuan ZT, Chung AY. Circumportal pancreas: A report of two cases. Annals of Hepato-biliary-pancreatic Surgery. 2019 Aug 1;23(3):300-4.
Türkvatan A, Erden A, Türkoğlu MA, Yener Ö. Congenital variants and anomalies of the pancreas and pancreatic duct: imaging by magnetic resonance cholangiopancreaticography and multidetector computed tomography. Korean journal of radiology. 2013 Dec 1;14(6):905-13.
Joseph P, Raju RS, Vyas FL, Eapen A, Sitaram V. Portal annular pancreas. A rare variant and a new classification. JOP. Journal of the Pancreas. 2010 Sep 6;11(5):453-5.
Luu AM, Braumann C, Herzog T, Janot M, Uhl W, Chromik AM. Circumportal Pancreas"”a Must Know Pancreatic Anomaly for the Pancreatic Surgeon. Journal of Gastrointestinal Surgery. 2017 Feb;21(2):344-51.
Dhanapal B, Shankar G, Krishnaraj B, Govindarajalou R, Ruparelia J, Deivasigamani A, Sistla SC. Portal annular pancreas: case report of a rare anomaly. Cureus. 2018 Mar 26;10(3).
Harnoss JM, Harnoss JC, Diener MK, Contin P, Ulrich AB, Buechler MW, Schmitz-Winnenthal FH. Portal annular pancreas: a systematic review of a clinical challenge. Pancreas. 2014 Oct;43(7):981
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Copyright (c) 2022 Dr. Muhammad Mehraiz Khan, Dr. Anish Kumar, Dr. Faisal Ehsan Cheema, Dr Hafiz Fahad Ullah Saeed, Dr. Jawairia Arif
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