Intestinal obstruction due to annular pancreas in neonatal period: a case report

Authors

  • Luis S. Florian Hospital Nacional Arzobispo Loayza, Servicio de Neonatología. Lima, Perú. Universidad de San Martín de Porres, Facultad de Medicina. Lima, Perú. Médico especialista en neonatología. https://orcid.org/0000-0001-6003-1819
  • Lizet Cuba Valencia Hospital Nacional Arzobispo Loayza, Servicio de Neonatología. Lima, Perú. Universidad de San Martín de Porres, Facultad de Medicina. Lima, Perú. Médico especialista en neonatología. https://orcid.org/0000-0001-8739-2446
  • Melissa P. Gentille Hospital Nacional Arzobispo Loayza, Servicio de Neonatología. Lima, Perú. Universidad de San Martín de Porres, Facultad de Medicina. Lima, Perú. Médico especialista en neonatología. https://orcid.org/0000-0003-3240-8978
  • Raissa B. Bustamante Hospital Nacional Arzobispo Loayza, Servicio de Neonatología. Lima, Perú. Médico residente de la especialidad de pediatría. https://orcid.org/0000-0002-0196-1925
  • Orlando I. Bayona Hospital Nacional Arzobispo Loayza, Servicio de Neonatología. Lima, Perú. Médico especialista en neonatología. https://orcid.org/0000-0001-9983-7545

DOI:

https://doi.org/10.24265/horizmed.2022.v22n4.11

Keywords:

Intestinal Obstruction, Congenital Abnormalities, Vomiting

Abstract

Annular pancreas is a rare congenital malformation characterized by a pancreatic ring surrounding the descending part of the duodenum. It occurs in 1:20,000 live births. The age of presentation depends on the severity of the intestinal obstruction. The diagnosis requires imaging studies and surgical exploration. This is the case of a 13-day-old newborn admitted to the Neonatal Intensive Care Unit of Hospital Nacional Arzobispo Loayza. He presented with gastric residuum, vomiting and intermittent abdominal distension. Given the persistent gastrointestinal symptoms despite the treatment administered, a radiological examination of the upper digestive tract with contrast dye was conducted. Signs of duodenal stenosis were found. An exploratory laparotomy showed a postoperative diagnosis of annular pancreas. Kimura’s diamond-shaped side-to-side duodenoduodenal anastomosis was performed as a definitive treatment.

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Published

2022-12-07

How to Cite

1.
Florian LS, Cuba Valencia L, Gentille MP, Bustamante RB, Bayona OI. Intestinal obstruction due to annular pancreas in neonatal period: a case report. Horiz Med [Internet]. 2022Dec.7 [cited 2025May2];22(4):e1944. Available from: https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/1944

Issue

Vol. 22 No. 4 (2022): October - December

Section

Case report

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