Two Cases of a Portal Annular Pancreas in Patients Undergoing Pancreaticoduodenectomy.

ABSTRACT:

Introduction

Portal annular pancreas (PAP) is a congenital anomaly resulting from aberrant fusion of the ventral and dorsal pancreatic buds around the portal vein (PV). PAP was classified into three types by Joseph et al., based on the location of the main pancreatic duct around the PV. The presence of PAP is important for the surgical procedure because it is associated with the postoperative pancreatic fistula. There are no standardized surgical procedures of resection and reconstruction for PAP.

Case presentation

We report 2 cases of subtotal stomach-preserving pancreatoduodenectomy in patients with PAP. One case of PAP was discovered coincidentally intraoperatively, and the other case was diagnosed before surgery. The first case was an 84-year-old male patient who underwe

SUBMITTER: Ohta M 

PROVIDER: S-EPMC11021039 | biostudies-literature | 2024 Jan-Dec

REPOSITORIES: biostudies-literature