Sağıroğlu, Ayşe Kayseri Education and Research Hospital - Dept Anatomy Kayseri, Turkey , Yıldırım, Afra Erciyes Üniversitesi - Tıp Fakültesi - Radyoloji Anabilim Dalı, Turkey , Acer, Niyazi Erciyes University - Medical Faculty - Department of Anatomy, Turkey , Tokmak, Turgut Tursem Erciyes University - School of Medicine - Dept Radiology, Turkey , Duran, Emel Erciyes University - School of Medicine - Dept Internal Medicine, Turkey , Başkol, Mevlüt Erciyes University - School of Medicine - Dept Gastroenterology, Turkey

Annular pancreas associated with nutcracker syndrome: A case report

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The pancreas usually develops from the fusion of the dorsal and ventral pancreatic buds between the first 4-8 weeks of embryonic life. Annular pancreas consists of a ring of pancreatic tissue, which partially or completely surrounds the descending portion of the duodenum. Annular pancreas is an uncommon congenital anomaly. The etiology of this anomaly is still unknown. It has been associated with other congenital anomalies and various clinical symptoms. The nutcracker phenomenon is defined as compression of the left renal vein between the aorta and superior mesenteric artery. We report the case of a 54-year-old patient who presented with a 15-day history of nausea and vomiting associated with weight loss. On magnetic resonance cholangiopancreatography (MRCP) and computer tomography (CT) examination, an annular pancreas and nutcracker syndrome were diagnosed, respectively. In this study, we founded that the radiologic and clinical findings of associated annular pancreas with nutcracker syndrome may be of clinical importance for surgical procedures.

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Annular pancreas , congenital anomaly , nutcracker phenomenon , MRCP , CT

Dicle Medical Journal

684