International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
Since Year 2012 | Open Access | Fully Refereed | Peer Reviewed

ISSN: 2319-7064




Downloads: 1 | Monthly Hits: ⮙1

Case Studies | General Surgery | India | Volume 11 Issue 5, May 2022


Portal Annular Pancreas - An Underreported and Unexpected Intraop Catastrophe - Review of Anatomy, Classification and Management

Rohith Mudadla | Jeswanth Satyanesan [2] | Satish Devakumar K | Amudhan A [2] | Harshit Kamal [2] | Selvaraj T [2]


Abstract: Portal annular pancreas (PAP) is an anatomic variation due to aberrant fusion of uncinate process of the pancreas which arises from the ventral bud and extends to fuse with thedorsal pancreatic bud by encircling the portal vein or superior mesenteric vein. In this article, we present a case report in a 59 year old male who presented with obstructive jaundice and features of G. O. O and diagnosed as having moderately differentiated adenocarcinoma on endoscopic biopsy from second part of duodenum. He was planned for an elective whipples procedure, during pancreatic transection tuft of pancreatic tissue encircling the portal vein and SMV axis and joining the body of pancreas posteriorly was present. Portal annular pancreatic anomaly was identified intraoperatively. The retroportal tissue was soft in consistency and suture ligated with 3-0 prolene. Post operatively there was no POPF but developed ascites which was resolved spontaneously and discharged on post op day 13.


Keywords: PAP, portal annular pancreas, G. O. O., Gastric outlet obstruction


Edition: Volume 11 Issue 5, May 2022,


Pages: 12 - 18

Portal Annular Pancreas - An Underreported and Unexpected Intraop Catastrophe - Review of Anatomy, Classification and Management


How to Cite this Article?

Rohith Mudadla, Jeswanth Satyanesan, Satish Devakumar K, Amudhan A, Harshit Kamal, Selvaraj T, "Portal Annular Pancreas - An Underreported and Unexpected Intraop Catastrophe - Review of Anatomy, Classification and Management", International Journal of Science and Research (IJSR), https://www.ijsr.net/get_abstract.php?paper_id=SR22428221023, Volume 11 Issue 5, May 2022, 12 - 18, #ijsrnet

How to Share this Article?

Enter Your Email Address




Similar Articles with Keyword 'PAP'

Downloads: 74

Research Paper, General Surgery, India, Volume 9 Issue 7, July 2020

Pages: 1616 - 1627

To Compare the Efficacy of Betadine, Calcium Alginate and Recombinant Epidermal Growth Factor Dressing in Chronic Diabetic Ulcers

Viswanath Nallapaneni [4]

Share this Article

Downloads: 82

Case Studies, General Surgery, India, Volume 9 Issue 5, May 2020

Pages: 922 - 924

A Rare Case of Intra-Abdominal Esophageal Duplication Cyst

Jai Rathore | Girish Bakhshi [2] | Ajay Bhandarwar | Shraddha Gangawane | Ruchira Bhattacharya

Share this Article


Top