140 Sir, Portal annular pancreas (PAP) is an uncommon and under-recognized congenital anomaly of the pancreas, which mostly remains asymptomatic but can have serious implications if a pancreatic surgery is being contemplated. In contrast to a conventional annular pancreas in which the pancreatic tissue encircles the second part of the duodenum, portal annular pancreas is characterized by encase...

OBJECTIVE To evaluate the power of prenatal 2-D ultrasound examination in the 2nd trimester as a method of choice for accurate diagnosis of annular pancreas. METHODS Co-incidence of the double bubble sign (often accompanying gastroduodenal dilatation) together with a hyperechogenic band around the duodenum (corresponding with the tissue of annular pancreas) was used as a diagnostic criterion....

Introduction Annular pancreas (from the Latin annularis, meaning ring-shaped) is a rare congenital disorder of the pancreas first recognised by Tiedeman in 1818. This abnormality, although at times clinically silent, may be the cause of a broad spectrum of disease. Complications range from neonatal intestinal obstruction to more complex pathologies in the adult. In cases of neonatal obstruction...

Rationale: Portal annular pancreas is a rare anatomic variation, where the uncinated process of the pancreas connects with the dorsal pancreas and the pancreas tissue encases the portal vein (PV), superior mesenteric vein (SMV) or splenic vein (SV). Malignancies are quite uncommon in the patients, who have an annular pancreas especially portal annular pancreas. Ectopic common hepatic artery and...

Annular pancreas is a rare congenital abnormality. This entity can rarely be symptomatic. Patients can present with gastrointestinal obstruction or acute pancreatitis. We report a case with a rich iconography, of an annular pancreas discovered intraoperatively. A 46-year-old woman was operated with the diagnosis of acute cholecystitis with common bile duct stones. At operation, a strip of pancr...

We show cyclic sieving phenomena on annular noncrossing permutations with given cycle types. We define annular q-Kreweras numbers, annular q-Narayana numbers, and annular q-Catalan numbers, and show that a sum of annular q-Kreweras numbers becomes an annular q-Narayana number and a sum of annular q-Narayana numbers becomes an annular q-Catalan number. We also show that these polynomials are clo...

INTRODUCTION Laparoscopic duodenal atresia repair is an advanced procedure performed in select pediatric surgical centers. Recently, sub-6mm endosurgical staplers have been introduced, facilitating and accelerating the creation of intracorporeal intestinal anastomoses. PRESENTATION OF CASE We performed a laparoscopic duodenojejunostomy in a one-day-old child with duodenal atresia due to annul...

Understanding how the pancreas develops is essential to understand the pathogenesis of congenital pancreatic anomalies. Recent studies have shown the advantages of investigating the development of frogs, mice, and chickens for understanding early embryonic development of the pancreas and congenital anomalies, such as choledochal cysts, anomalous pancreaticobiliary junction, annular pancreas, an...

Annular pancreas is a rare congenital anomaly in which a ring of pancreatic tissue encircles the secondpart of the duodenum [1]. Here we present the endoscopic findings in two patientswith annular pancreas, including the first endoscopic ultrasound (EUS) video to be published of the condition, illustrating the pancreatic duct coursing around the duodenum. Our first patient was a 70-year-old man...