Portal annular pancreas
https://doi.org/10.16931/1995-5464.2018364-68
Abstract
The clinical observation of a patient with pancreatic head cancer and intrapancreatic location of the portal vein is described. Surgical features of pancreatoduodenectomy, intraoperative complexities due to portal vein localization are comprehensively presented. Literature data are reviewed.
About the Authors
E. A. Akhtanin
Vishnevsky National Medical Research Center of Surgery of Healthcare Ministry of the Russian Federation.
Russian Federation
Russian Federation
Evgeny A. Akhtanin – Cand. of Med. Sci., Junior Researcher of the Abdominal Surgery Department No.1 of the Vishnevsky National Medical Research Center of Surgery of Healthcare Ministry of the Russian Federation.
27, Bol. Serpuhovskaya, Moscow, 1177997.
A. A. Goev
Vishnevsky National Medical Research Center of Surgery of Healthcare Ministry of the Russian Federation.
Russian Federation
Russian Federation
Aleksandr A. Goev – Resident of the Abdominal Surgery Department No.1 of the Vishnevsky National Medical Research Center of Surgery of Healthcare Ministry of the Russian Federation.
27, Bol. Serpuhovskaya, Moscow, 1177997.
P. I. Davydenko
Vishnevsky National Medical Research Center of Surgery of Healthcare Ministry of the Russian Federation.
Russian Federation
Russian Federation
Pavel I. Davydenko – Researcher of the X-ray and Magnetic Resonance Diagnosis Department of the Vishnevsky National Medical Research Center of Surgery of Healthcare Ministry of the Russian Federation.
27, Bol. Serpuhovskaya, Moscow, 1177997.
A. G. Kriger
Vishnevsky National Medical Research Center of Surgery of Healthcare Ministry of the Russian Federation.
Russian Federation
Russian Federation
Andrey G. Kriger – Doct. of Med. Sci., Professor, Head of the Abdominal Surgery Department No.1 of the Vishnevsky National Medical Research Center of Surgery of Healthcare Ministry of the Russian Federation.
27, Bol. Serpuhovskaya, Moscow, 1177997.
References
1. Arora A., Velayutham P., Rajesh S., Patidar Y., Mukund A., Bharathy K.G. Circumportal pancreas: a clinicoradiological and embryological review. Surg. Radiol. Anat. SRA. 2014; 36 (4): 311–319. DOI: 10.1007/s00276-013-1189-y.
2. Petrenko V.M. Pancreas in embryogenesis. Byulleten' Nauki i Praktiki. 2017; 19 (6): 72–89. (In Russian) 3. Botello-Hernández Z., Fuentes-Reyes R.A., Chapa-Azuela O. Annular pancreas. An unusual intraoperative finding. Rev. Gastroenterol. Mex. 2018; 83 (1): 64–65. DOI: 10.1016/j.rgmx.2017.03.005.
3. Joseph P., Raju R.S., Vyas F.L., Eapen A., Sitaram V. Portal annular pancreas. A Rare variant and a new classification. JOP J. Pancreas. 2010; 11 (5): 453–455.
4. Mittal P., Gupta R., Mittal A., Ahmed A. Portal annular pancreas: a rare and overlooked anomaly. Pol. J. Radiol. 2017; 82 (2): 38–40. DOI: 10.12659/PJR.899733.
5. Leyendecker J.R., Baginski S.G. Complete pancreatic encasement of the portal vein (circumportal pancreas): imaging findings and implications of a rare pancreatic anomaly. J. Comput. Assist. Tomogr. 2008; 32 (1): 61–64. DOI: 10.1097/rct.0b013e3180557448.
6. Sugiura Y., Shima S., Yonekawa H., Yoshizumi Y., Ohtsuka H., Ogata T. The hypertrophic uncinate process of the pancreas wrapping the superior mesenteric vein and artery – a case report. Jpn. J. Surg. 1987; 17 (3): 182–185.
7. Karasaki H., Mizukami Y., Ishizaki A., Goto J., Yoshikawa D., Kino S., Tokusashi Y., Miyokawa N., Yamada T., Kono T., Kasai S. Portal annular pancreas, a notable pancreatic malformation: Frequency, morphology, and implications for pancreatic surgery. Surgery. 2009; 146 (3): 515–518. DOI: 10.1016/j.surg.2009.03.018.
8. Yilmaz E., Celik A. Circumportal pancreas: prevalence, subtypes and vascular variations of 55 patients. Surg. Radiol. Anat. SRA. 2018; 40 (4): 407–413. DOI: 10.1007/s00276-018-1975-7.
9. Harnoss J.M., Harnoss J.C., Diener M.K., Contin P., Ulrich A.B., Büchler M.W., Schmitz-Winnenthal F.H. Portal annular pancreas: a systematic review of a clinical challenge. Pancreas. 2014; 43 (7): 981–986. DOI: 10.1097/MPA.0000000000000186.
10. Kiuchi R., Mizuno T., Okamura Y., Sugiura T., Kanemoto H., Uesaka K. Circumportal pancreas – a hazardous anomaly in pancreatic surgery. HPB. 2017; 20 (5): 385–391. DOI: 10.1016/j.hpb.2017.10.009.
11. Ohtsuka T., Mori Y., Ishigami K., Fujimoto T., Miyasaka Y., Nakata K., Ohuchida K., Nagai E., Oda Y., Shimizu S. Nakamura M. Clinical significance of circumportal pancreas, a rare congenital anomaly, in pancreatectomy. Am. J. Surg. 2017; 214 (2): 267–272. DOI: 10.1016/j.amjsurg.2016.11.018.
Review
For citations:
Akhtanin E.A., Goev A.A., Davydenko P.I., Kriger A.G. Portal annular pancreas. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2018;23(3):64-68. (In Russ.) https://doi.org/10.16931/1995-5464.2018364-68
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