%0 Journal Article %T Annular pancreas intra operatively discovered: a case report %A Zeineb Mzoughi %A Ben Abid Sadri %A Miloudi Nizar %A Hentati Hassen %J Clinics and Practice %D 2011 %I PAGEPress Publications %R 10.4081/cp.2011.e82 %X 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 pancreatic tissue (2 cm) completely encircled the second duodenum. Open cholecytectomy with choledocotomy and stones extractionwas done. Postoperatively, she developed an acute pancreatitis. The post-operative cholangiography showed the annular duct surrounding the second duodenum. Annular pancreas is rare. Symptoms may occur in newborn children. In adults, annular pancreas discovering is radiological or intra operatively. %K annular pancreas %K annular duct %K pancreatitis. %U http://www.clinicsandpractice.org/index.php/cp/article/view/199