ANNULAR PANCREAS WITH DUODENAL STENOSIS AND INTESTINAL

Objective – To describe a rare case of a combination of annular pan-creas with malrotation in early childhood. Case report – The patient is 2 year old aged girl with persistent non-bilious vomiting. She was vomiting several times a week, and over the ten days prior to presen-tation as many as several times a day. Upon presentation, the patient had an unremarkable abdominal exam with no abdominal pain. An upper gastrointestinal study showed extreme dilatation of the stom-ach and the duodenal bulb, and an abdominal computer tomography scan revealed an annular pancreas. Intra-operatively we find an an-nular pancreas and treated it by duodeno-duodenostomy, while the intestinal malrotation was treated by Ladd’s procedure. Conclusion – Annular pancreas is a rare congenital anomaly which in childhood is related to duodenal atresia or stenosis and often affiliated with in-testinal malrotation. Key words: Annular pancreas ■ Malrotation