{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T11:49:58Z","timestamp":1776512998384,"version":"3.51.2"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2013,10,25]],"date-time":"2013-10-25T00:00:00Z","timestamp":1382659200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Gastroenterol"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Annular pancreas (AP) concurrent with pancreaticobiliary maljunction (PBMJ), an unusual coexisted congenital anomaly, often presented symptoms and subjected surgical treatment at the early age of life. We reported the first adult case of concurrent AP with PBMJ presented with symptoms until his twenties, and performed a literature review to analyze the clinicopathological features of such cases comparing with its pediatric counterpart.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>The main clinical features of this case were abdominal pain and increased levels of plasma amylase as well as liver function test. A complete type of annular pancreas with duodenal stenosis was found, and dilated common bile duct with high confluence of pancreaticobiliary ducts was also observed. Meanwhile, extremely high levels of bile amylase were detected both in common bile duct and gallbladder. The patient received duodenojejunostomy (side-to-side anastomosis) as well as choledochojejunostomy (Roux-en-Y anastomosis), adnd was discharged in a good condition.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>AP concurrent with PBMJ usually presents as duodenal obstruction in infancy, while manifests as pancreatitis in adulthood. Careful long-term follow-up is required for children with AP considering its association with PBMJ which would induce various intractable pathologic conditions in the biliary tract and pancreas.<\/jats:p><\/jats:sec>","DOI":"10.1186\/1471-230x-13-153","type":"journal-article","created":{"date-parts":[[2013,10,25]],"date-time":"2013-10-25T07:28:53Z","timestamp":1382686133000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Annular pancreas concurrent with pancreaticobiliary maljunction presented with symptoms until adult age: case report with comparative data on pediatric cases"],"prefix":"10.1186","volume":"13","author":[{"given":"Long","family":"Cheng","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fuzhou","family":"Tian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tiejun","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong","family":"Pang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhulin","family":"Luo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiandong","family":"Ren","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2013,10,25]]},"reference":[{"key":"1016_CR1","doi-asserted-by":"publisher","first-page":"422","DOI":"10.1016\/j.aanat.2012.04.006","volume":"194","author":"D Etienne","year":"2012","unstructured":"Etienne D, John A, Menias CO, Ward R, Tubbs RS, Loukas M: Annular pancreas: a review of its molecular embryology, genetic basis and clinical considerations. Ann Anat. 2012, 194: 422-428. 10.1016\/j.aanat.2012.04.006.","journal-title":"Ann Anat"},{"key":"1016_CR2","doi-asserted-by":"publisher","first-page":"S84","DOI":"10.1016\/j.cgh.2009.08.024","volume":"7","author":"T Kamisawa","year":"2009","unstructured":"Kamisawa T, Takuma K, Anjiki H, Egawa N, Kurata M, Honda G, Tsuruta K, Sasaki T: Pancreaticobiliary maljunction. Clin Gastroenterol Hepatol. 2009, 7: S84-S88. 10.1016\/j.cgh.2009.08.024.","journal-title":"Clin Gastroenterol Hepatol"},{"key":"1016_CR3","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1007\/s005340050083","volume":"6","author":"H Ando","year":"1999","unstructured":"Ando H, Kaneko K, Ito F, Seo T, Harada T, Watanabe Y: Embryogenesis of pancreaticobiliary maljunction inferred from development of duodenal atresia. J Hepatobiliary Pancreat Surg. 1999, 6: 50-54. 10.1007\/s005340050083.","journal-title":"J Hepatobiliary Pancreat Surg"},{"key":"1016_CR4","first-page":"302","volume":"4","author":"K Okada","year":"1993","unstructured":"Okada K, Ohama KTY, Asano S: Two cases of congenital biliary dilatation associated with annular pancreas. J Jpn Soc Pediatr Surg. 1993, 4: 302-308.","journal-title":"J Jpn Soc Pediatr Surg"},{"key":"1016_CR5","doi-asserted-by":"publisher","first-page":"244","DOI":"10.1055\/s-2008-1063553","volume":"3","author":"J Komura","year":"1993","unstructured":"Komura J, Yano H, Tanaka Y, Tsuru T: Annular pancreas associated with pancreaticobiliary maljunction in an infant. Eur J Pediatr Surg. 1993, 3: 244-247. 10.1055\/s-2008-1063553.","journal-title":"Eur J Pediatr Surg"},{"key":"1016_CR6","first-page":"135","volume":"1994","author":"TNN Nakamura","year":"1994","unstructured":"Nakamura TNN, Kusafuka T, Kawata H, Azuma T: Study of pathophysiology on congenital choledochal cyst\u2014embryological consideration on choledochal cyst with annular pancreas. Annual report of 1994. 1994, 1994: 135-138.","journal-title":"Annual report of 1994"},{"key":"1016_CR7","doi-asserted-by":"publisher","first-page":"1259","DOI":"10.1053\/jpsu.2000.8768","volume":"35","author":"H Komuro","year":"2000","unstructured":"Komuro H, Makino S, Tahara K: Choledochal cyst associated with duodenal obstruction. J Pediatr Surg. 2000, 35: 1259-1262. 10.1053\/jpsu.2000.8768.","journal-title":"J Pediatr Surg"},{"key":"1016_CR8","doi-asserted-by":"publisher","first-page":"281","DOI":"10.1007\/s003830100703","volume":"18","author":"T Sugimoto","year":"2002","unstructured":"Sugimoto T, Yamagiwa I, Obata K, Ouchi T, Takahashi R, Suzuki R, Shimazaki Y: Choledochal cyst and duodenal atresia: a rare combination. Pediatr Surg Int. 2002, 18: 281-283. 10.1007\/s003830100703.","journal-title":"Pediatr Surg Int"},{"key":"1016_CR9","doi-asserted-by":"publisher","first-page":"995","DOI":"10.1007\/s00383-009-2462-3","volume":"25","author":"A Iwai","year":"2009","unstructured":"Iwai A, Hamada Y, Takada K, Inagaki N, Nakatake R, Yanai H, Miki H, Araki Y, Sato M, Ono S, Iwai N, Kwon AH: Choledochal cyst associated with duodenal atresia: case report and review of the literature. Pediatr Surg Int. 2009, 25: 995-998. 10.1007\/s00383-009-2462-3.","journal-title":"Pediatr Surg Int"},{"key":"1016_CR10","doi-asserted-by":"publisher","first-page":"715","DOI":"10.1007\/s00383-012-3065-y","volume":"28","author":"H Komuro","year":"2012","unstructured":"Komuro H, Gotoh C, Urita Y, Fujishiro J, Shinkai T: A pediatric case of an unusual type of annular pancreas presenting with duodenopancreatic reflux. Pediatr Surg Int. 2012, 28: 715-717. 10.1007\/s00383-012-3065-y.","journal-title":"Pediatr Surg Int"},{"key":"1016_CR11","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1055\/s-0029-1202249","volume":"20","author":"H Okuyama","year":"2010","unstructured":"Okuyama H, Kubota A, Kawahara H, Shimizu Y, Watanabe T, Yamanaka H, Tani G, Takeyama Y: Frey procedure for chronic pancreatitis in a child with duodenal atresia and complex pancreaticobiliary disorders. Eur J Pediatr Surg. 2010, 20: 45-47. 10.1055\/s-0029-1202249.","journal-title":"Eur J Pediatr Surg"},{"key":"1016_CR12","first-page":"478","volume":"39","author":"MYT Oowari","year":"2003","unstructured":"Oowari MYT, Kosumi T, Oota Y, Nagahara N: A case of pancreaticobiliary maljunction associated with annular pancreas. Jap J Pediatr Surg. 2003, 39: 478-480.","journal-title":"Jap J Pediatr Surg"},{"key":"1016_CR13","doi-asserted-by":"publisher","first-page":"378","DOI":"10.1097\/01.MPG.0000148773.80213.03","volume":"40","author":"HS Shih","year":"2005","unstructured":"Shih HS, Ko SF, Chaung JH: Is there an association between duodenal atresia and choledochal cyst?. J Pediatr Gastroenterol Nutr. 2005, 40: 378-381. 10.1097\/01.MPG.0000148773.80213.03.","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"1016_CR14","first-page":"351217","volume":"2011","author":"H Tadokoro","year":"2011","unstructured":"Tadokoro H, Takase M, Nobukawa B: Development and congenital anomalies of the pancreas. Anat Res Int. 2011, 2011: 351217-","journal-title":"Anat Res Int"},{"key":"1016_CR15","first-page":"1716","volume":"49","author":"WJ Douie","year":"2002","unstructured":"Douie WJ, Krige JE, Bornman PC: Annular pancreas in adults: a report of two cases and a review of the literature. Hepato-gastroenterology. 2002, 49: 1716-1718.","journal-title":"Hepato-gastroenterology"},{"key":"1016_CR16","first-page":"468","volume":"4","author":"PF Fu","year":"2005","unstructured":"Fu PF, Yu JR, Liu XS, Shen QY, Zheng SS: Symptomatic adult annular pancreas: report of two cases and a review of the literature. Hepatobiliary Pancreat Dis Int. 2005, 4: 468-471.","journal-title":"Hepatobiliary Pancreat Dis Int"},{"key":"1016_CR17","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1177\/000313480306900509","volume":"69","author":"V Maker","year":"2003","unstructured":"Maker V, Gerzenshtein J, Lerner T: Annular pancreas in the adult: two case reports and review of more than a century of literature. Am Surg. 2003, 69: 404-410.","journal-title":"Am Surg"},{"key":"1016_CR18","doi-asserted-by":"publisher","first-page":"1019","DOI":"10.1016\/j.jamcollsurg.2007.12.009","volume":"206","author":"NJ Zyromski","year":"2008","unstructured":"Zyromski NJ, Sandoval JA, Pitt HA, Ladd AP, Fogel EL, Mattar WE: Annular pancreas: dramatic differences between children and adults. J Am Coll Surg. 2008, 206: 1019-1025. 10.1016\/j.jamcollsurg.2007.12.009.","journal-title":"J Am Coll Surg"},{"key":"1016_CR19","doi-asserted-by":"publisher","first-page":"741","DOI":"10.1016\/j.jpedsurg.2009.05.027","volume":"45","author":"N Urushihara","year":"2010","unstructured":"Urushihara N, Fukumoto K, Fukuzawa H, Suzuki K, Matsuoka T, Kawashima S, Watanabe K, Hasegawa S: Recurrent pancreatitis caused by pancreatobiliary anomalies in children with annular pancreas. J Pediatr Surg. 2010, 45: 741-746. 10.1016\/j.jpedsurg.2009.05.027.","journal-title":"J Pediatr Surg"},{"key":"1016_CR20","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1007\/s005340200004","volume":"9","author":"Y Matsumoto","year":"2002","unstructured":"Matsumoto Y, Fujii H, Itakura J, Matsuda M, Nobukawa B, Suda K: Recent advances in pancreaticobiliary maljunction. J Hepatobiliary Pancreat Surg. 2002, 9: 45-54. 10.1007\/s005340200004.","journal-title":"J Hepatobiliary Pancreat Surg"},{"key":"1016_CR21","doi-asserted-by":"publisher","first-page":"601","DOI":"10.1007\/s00595-010-4492-9","volume":"41","author":"S Ono","year":"2011","unstructured":"Ono S, Fumino S, Iwai N: Diagnosis and treatment of pancreaticobiliary maljunction in children. Surg Today. 2011, 41: 601-605. 10.1007\/s00595-010-4492-9.","journal-title":"Surg Today"},{"key":"1016_CR22","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1159\/000086632","volume":"69","author":"Y Kimura","year":"2005","unstructured":"Kimura Y, Nishikawa N, Okita K, Furuhata T, Mizuguchi T, Nobuoka T, Nishimori H, Zenbutsu H, Satoh M, Katsuramaki T, Hirata K: Biliary tract malignancy and chronic inflammation from the perspective of pancreaticobiliary maljunction. Oncology. 2005, 69: 41-45. 10.1159\/000086632.","journal-title":"Oncology"},{"key":"1016_CR23","doi-asserted-by":"publisher","first-page":"570","DOI":"10.1016\/S1499-3872(11)60098-2","volume":"10","author":"YL Deng","year":"2011","unstructured":"Deng YL, Cheng NS, Lin YX, Zhou RX, Yang C, Jin YW, Xiong XZ: Relationship between pancreaticobiliary maljunction and gallbladder carcinoma: meta-analysis. Hepatobiliary Pancreat Dis Int. 2011, 10: 570-580. 10.1016\/S1499-3872(11)60098-2.","journal-title":"Hepatobiliary Pancreat Dis Int"},{"key":"1016_CR24","doi-asserted-by":"publisher","first-page":"228","DOI":"10.1159\/000095424","volume":"73","author":"T Kamisawa","year":"2006","unstructured":"Kamisawa T, Okamoto A: Biliopancreatic and pancreatobiliary refluxes in cases with and without pancreaticobiliary maljunction: diagnosis and clinical implications. Digestion. 2006, 73: 228-236. 10.1159\/000095424.","journal-title":"Digestion"}],"container-title":["BMC Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-230X-13-153.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/1471-230X-13-153\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-230X-13-153","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-230X-13-153.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,18]],"date-time":"2024-05-18T22:28:31Z","timestamp":1716071311000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcgastroenterol.biomedcentral.com\/articles\/10.1186\/1471-230X-13-153"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,10,25]]},"references-count":24,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,12]]}},"alternative-id":["1016"],"URL":"https:\/\/doi.org\/10.1186\/1471-230x-13-153","relation":{},"ISSN":["1471-230X"],"issn-type":[{"value":"1471-230X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,10,25]]},"assertion":[{"value":"6 June 2013","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 October 2013","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 October 2013","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"153"}}