CASE
Whipple Procedure for an extremely rare case: Annular pancreas with chronic pancreatitis and head mass with gastric outlet obstruction
Dr. Prasad K. Wagle, Dr. Gunjan S. Desai
A 26-year-old male with diabetes
Presentation: Difficulty eating and persistent vomiting for over a year due to gastric outlet obstruction (Goo) – Endoscopy confirmed GOO
MRI / CT scan – annular pancreas (pancreas forms a ring around the intestine. Very rare. Incidence 3 in 20,000 to 3 in 1000 across studies Chronic pancreatitis with head mass
MARKERS – High CA 19-9, Elevated bilirubin (3.5)
Previous Treatment Opinions:
Endoscopic treatment (non-surgical) was not possible (2 medical gastro opinions)
PLAN: WHIPPLE PROCEDURE WITH LONGITUDINAL PANCREATICO-JEJUNOSTOMY
Post-operative recovery was uneventful. Discharged on day 6 of surgery. Currently on a normal diet.
