Partial annular pancreas in a 12-year-old girl

Introduction. Annular pancreas is a rare congenital anomaly in which band of the pancreatic tissue, continuity with head, completely or incompletely surrounds descending part duodenum. An abnormal development can cause complete annular pancreas, partial and divisum. Complete diagnosed newborns, while diagnosis more frequently established adults. The most reliable diagnostic methods are computed tomography magnetic resonance cholangiopancreatography. treated surgically, using bypass procedures. Case report. A 12-year-old girl presented malnourished, occasional feeding problems, vomiting, heartburn, pain from infancy. upper gastrointestinal series showed an extremely dilated stomach, first second endoscopic exam revealed pylorus, duodenum retained contrast, entrance endoscope into third was not possible. Computed tissue encircling characteristic "crocodile jaw" sign. Roux-en-Y duodenojejunostomy performed as procedure. Conclusion. well-known easily newborns. often poorly recognized, especially patients who do present marked duodenal obstruction. Unrevealed, it causes chronic problems food intake, possible serious complications. Although very condition pediatric population, should be taken consideration unclear cases poor oral intake vomiting.