ACCESORY ANULAR PANCREAS CAUSING GASTRIC OUTLET OBSTRUCTION

Article

A 62-year-old man with findings of chronic iron deficiency anemia and weight loss. Symptoms included intermittent rectal bleeding alternated with black stools.

A 62-year-old man presented with findings of chronic iron deficiency anemia. Symptoms included intermittent rectal bleeding alternated with black stools.

History

Physical exam remarkable for cachectic man with more than 20 pounds weight loss. No lymphadenopathy.

Findings 

Upper and lower endoscopy remarkable for severe esophagitis. CT with findings of duplicated pancreas, with annular configuration of the duplication causing gastric outlet obstruction.

CT Axial

MRI confirmed tissue arising ventrally from the pancreatic body, with typical pancreatic cobblestoning. Isointense to the pancreatic parenchyma in all sequences.

MRI Axial

The antroduodenum was encircled demonstrating abundant intraluminal ingested material admixed with fluid throughout stomach. No peripancreatic inflammatory changes or fluid collections. No lymphadenopathy was identified.

Treatment

Patient was treated symptomatically. Iron supplement and MTV were added to therapy. Marked increased in HGB (From 7 to 12 G/DL with almost normal MCV). CMP without significant lytes disturbance.

Hiram Ortega-Cruz, MD, is a gastroenterology fellow, VA Caribbean Health Care System (VACHS), San Juan , PR.

 

Eduardo Acosta-Pumarejo, MD is on the radiology staff, VACHS, San Juan , PR.

Recent Videos
SNMMI: What Tau PET Findings May Reveal About Modifiable Factors for Alzheimer’s Disease
Emerging Insights on the Use of FES PET for Women with Lobular Breast Cancer
Can Generative AI Reinvent Radiology Reporting?: An Interview with Samir Abboud, MD
Mammography Study Reveals Over Sixfold Higher Risk of Advanced Cancer Presentation with Symptom-Detected Cancers
Combining Advances in Computed Tomography Angiography with AI to Enhance Preventive Care
Study: MRI-Based AI Enhances Detection of Seminal Vesicle Invasion in Prostate Cancer
What New Research Reveals About the Impact of AI and DBT Screening: An Interview with Manisha Bahl, MD
Can AI Assessment of Longitudinal MRI Scans Improve Prediction for Pediatric Glioma Recurrence?
A Closer Look at MRI-Guided Adaptive Radiotherapy for Monitoring and Treating Glioblastomas
Incorporating CT Colonography into Radiology Practice
Related Content
© 2025 MJH Life Sciences

All rights reserved.