“Ductal adenocarcinoma in anular pancreas”

Benassai, Giacomo; Perrotta, S.; Furino, Ermenegildo; Werra, Carlo De; Aloia, Sergio; Giudice, Roberto Del; Amato, Bruno; Vigliotti, Gabriele; Limite, Gennaro; Quarto, Gennaro

doi:10.1016/j.ijsu.2015.04.086

Cited by 8 publications

(5 citation statements)

References 18 publications

(8 reference statements)

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“…КПЖ диагностируется у новорожденныхс типичными симптомами и признаками врожденной дуоденальной непроходимости. У взрослых же этот пороктолько в 33% случаев протекает симптоматически и может имитировать широкий спектр клинических состояний, таких как пептическая язва, панкреатит или механическая желтуха; таким образом, затрудняя установление правильного диагноза [11,12,13,14]. Хронический панкреатит является одним из основных осложнений кольцевидной ПЖ [8].…”

Section: Discussionunclassified

“…д.). При этом смертность у 5% взрослых была обусловлена пакреатобилиарным раком [16]. Хотя рак поджелудочной железы, возникающий на фоне КПЖ, регистрировался нечасто в данном исследовании, панкреатит являлся основным проявлением.…”

Section: Discussionunclassified

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Chronic duodenal obstruction complicated by the course of chronic pancreatitis

Amanova,

Razumovsky,

Kholostova

et al. 2023

jour

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The annular pancreas (CPJ) is mainly considered in pediatric surgical practice as a pathology of the newborn period, manifested by a picture of duodenal obstruction and having the potential for complete cure. Nevertheless, during the course of life, patients with this defect may develop complications such as chronic pancreatitis, peptic ulcer, pancreatic tumors, changes in the biliary tract, etc., which develop in adulthood and often cause complications and deaths. There are very few descriptions of such complications in children in the available literature, and therefore, we want to provide a clinical case of an 8-year-old boy with a complicated course of CPJ.

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Section: Discussionunclassified

Chronic duodenal obstruction complicated by the course of chronic pancreatitis

Amanova,

Razumovsky,

Kholostova

et al. 2023

jour

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“…In addition, a substantial number of adults with this condition develop neoplasms (24%), especially biliary and pancreatic adenocarcinoma. 1,10 The diagnosis can be suggested through imaging tests such as X-ray, barium swallow, and Computed Tomography (CT), but the definitive diagnosis is surgical. 2 Although endoscopic approaches are described, open surgical management is currently considered the first-line treatment.…”

Section: Discussionmentioning

confidence: 99%

Annular pancreas in neonate patients

Carvalho

Barreiros

Binatti

et al. 2022

Medicina (Ribeirão Preto)

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Objective: Reinforce that, despite being a rare condition, annular pancreas must be considered as a differential diagnosis for intestinal obstructions in the newborn period. Case description: This case report refers to a 13-days newborn admitted to the emergency room presenting with postprandial vomiting and progressive weight loss since maternity discharge. The patient did not respond to initial interventions that included IV antibiotics and insertion of a nasogastric tube. A contrasted study of the upper digestive tract (esophagus, stomach and duodenum) found a luminal narrowing on the second duodenal portion. The patient was submitted to an exploratory laparotomy which found a pancreatic-tissue ring involving the second part of the duodenum. Despite rare, we reinforce that annular pancreas must be considered as a differential diagnosis for intestinal obstructions in the newborn period. Comments: Annular pancreas is a rare congenital defect in which a ring of pancreatic tissue encircles the duodenum, causing different degrees of intestinal obstruction.

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“…Early lesions appear purely cystic; after modification of the germinal layer and a reduction of intraluminal pressure the capsule becomes fibrotic and sometimes calcified, while the daughter cysts discharge from the wall and float in the lumen. Hydatid cyst identification in the adrenal gland space is based mainly on ultrasonography and CT scans [ 4 - 6 , 14 - 17 ]; they reach a sensitivity range from 93% to 98% for Ultrasonography while CT scans reach around 97%. On radiology hydatid cysts can be described according to the classification of Gharbi et al [ 7 ] which is based on ultrasonography features and includes five types.…”

Section: Discussionmentioning

confidence: 99%

“…Few reports of MRI of adrenal HD have been published. On MRI the complex cyst contents can be well displayed and the cyst membrane, whether collapsed or not, can be clearly seen as a low-intensity curvilinear structure on both short and long repetition time spin-echo images [ 11 ], unfortunately in our case these characteristic were not in the MRI exam [ 14 ]. The differential diagnosis of an adrenal cyst should include an endothelial cyst, a pseudocyst due to infarction or hemorrhage in the adrenal gland, cystic neoplasm, ectopic glandular tissue and a post traumatic cyst [ 8 - 10 , 12 , 18 - 20 ].…”

Section: Discussionmentioning

confidence: 99%

Uncommon primary hydatid cyst occupying the adrenal gland space, treated with laparoscopic surgical approach in an old patient

et al. 2016

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AbstractHydatid disease (HD) is caused by Echinococcus Granulosus (EG), which is a larva endemic in many undeveloped areas. The most common target is the liver (59%–75%). The retroperitoneal space is considered as a rare localization. We report an uncommon case of HD located in the adrenal gland space.Presentation of case. This is a 78-year-old Moroccan woman, with right flank pain for eight months previously. She denied contact with dogs or sheep. Her physical examination was normal. There was no pathological alteration of laboratory exams. CT scan measuring 5 cm without clear signs for a sure diagnosis found a round lesion in the right adrenal gland. An abdominal MRI showed a round mass of 34 x 27 mm with fluid component without a clear plane of dissection from kidney and liver. A laparoscopic procedure was performed to obtain a histological diagnosis. We reached a conclusive diagnosis of Hydatid cyst of right adrenal gland space.Hydatid cysts often develop in the liver. The location in the adrenal bed is rare without clinical signs related to alteration of the gland’s secretion. Hydatid cyst identification in the adrenal gland space is based on ultrasonography, CT or MRI scans. The differential diagnosis includes various benign and malignant lesions. Laparoscopic procedure is the best approach available to obtain a histological diagnosis and a curative treatment.The best treatment for HD is the pericystectomy. Laparoscopic surgery can guarantee a radical resection of these lesions when it performed by an expert surgeon.

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“Ductal adenocarcinoma in anular pancreas”

Cited by 8 publications

References 18 publications

Chronic duodenal obstruction complicated by the course of chronic pancreatitis

Chronic duodenal obstruction complicated by the course of chronic pancreatitis

Annular pancreas in neonate patients

Uncommon primary hydatid cyst occupying the adrenal gland space, treated with laparoscopic surgical approach in an old patient

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