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CASE REPORT   

Minerva Chirurgica 2003 June;58(3):395-8

Copyright © 2003 EDIZIONI MINERVA MEDICA

language: English

Severe obstructive jaundice in a 90-year-old man caused by an annular pancreas. Report of a case

Adamo M., Bonventre S., Tavormina A., Vetri G., Di Gesù G.


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Although the annular pancreas is a rare congenital malformation of the pancreatic glandular parenchyma, this pathology often remains asymptomatic until the adult or old age and can represent an incidental finding during an ERCP or an abdominal Computed Tomography, because the clinical appearance of this condition can be of very various kinds. We present a case of an extra-hepatic jaundice in a 90-year-old man, caused by an annular pancreas constricting coledochus. Description of this case results very interesting and particular for two reasons: the very old age of the patient, probably the oldest recorded, and the unusual clinical appearance: obstructive jaundice as beginning one symptom of this malformation.

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