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 UNUSUAL CASE
Year : 2018  |  Volume : 14  |  Issue : 4  |  Page : 354-356

Management of portal annular pancreas during laparoscopic pancreaticoduodenectomy


1 Department of General Surgery, Istituto Ospedaliero Fondazione Poliambulanza, Brescia, Italy
2 Department of Radiology and Diagnostic Imaging, Istituto Ospedaliero Fondazione Poliambulanza, Brescia, Italy

Correspondence Address:
Dr. Giuseppe Zimmitti
Department of General Surgery, Istituto Ospedaliero Fondazione Poliambulanza, Via Bissolati 57, 25124 Brescia
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmas.JMAS_235_17

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Portal annular pancreas (PAP) is a pancreatic congenital anomaly consisting of pancreatic parenchyma encircling the portal vein and/or the superior mesenteric vein. It has been reported that the risk of developing a post-operative pancreatic fistula is higher following pancreaticoduodenectomy in patients with PAP, probably because of the possibility of leaving undrained a portion of pancreatic parenchyma during the reconstructive phase. Few manuscripts have reported a surgical technique of pancreaticoduodenectomy in case of PAP, herein we report the first case of a patient with PAP undergoing laparoscopic pancreaticoduodenectomy.






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