Ann Surg Case Rep | Volume 3, Issue 2 | Case Report | Open Access

Symptomatic Annular Pancreas in an Elderly Patient with Situs Inversus Totalis: Case Report

Hina Kanani1*, Aija Teibe2 and Nikhil Kulkarni3

1Department of General Surgery, Lincoln County Hospital, UK
2Department of Radiology, Grantham and District Hospital, UK
3Department of General & Colorectal Surgery, Lincoln County Hospital & Grantham and District Hospital, UK

*Correspondance to: Hina Kanani 

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Annular pancreas is a rare congenital abnormality that is identified either incidentally or when individuals present symptomatically. It is known to be associated with other congenital anomalies. In this case report, we discuss a very rare case of an annular pancreas in an elderly male patient with known Situs Inversus Totalis (SIT). After presenting to the general surgical team with acute pancreatitis, an annular pancreas was identified incidentally on Computed Tomography (CT) imaging. He was managed conservatively and discharged with outpatient follow up. Patients with annular pancreas present predominantly during infancy. There is limited published literature surrounding adult patients with a background of SIT presenting symptomatically. Annular pancreas should always be considered as an important differential in adult patients with SIT. It remains integral for surgeons and radiologists to be aware of this rare association. We hereby discuss this patient, followed by a brief literature review about annular pancreas and its association to SIT.


Annular pancreas; SIT; Computed tomography; Radiology


Kanani H, Teibe A, Kulkarni N. Symptomatic Annular Pancreas in an Elderly Patient with Situs Inversus Totalis: Case Report. Ann Surg Case Rep. 2020; 3(2): 1029..

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