{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T04:21:10Z","timestamp":1743654070114,"version":"3.40.3"},"reference-count":0,"publisher":"Sociedad Argentina de Gastroenterologia","issue":"1","license":[{"start":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T00:00:00Z","timestamp":1743379200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ACTA"],"abstract":"<jats:p>Introducci\u00f3n. El p\u00e1ncreas anular es una anomal\u00eda cong\u00e9nita rara que se detecta tras el desarrollo de complicaciones o como hallazgo incidental. Su diagn\u00f3stico y tratamiento generan controversia.\nPresentaci\u00f3n del caso. Mujer de 44 a\u00f1os con cuadro cr\u00f3nico de episodios de dolor epig\u00e1strico leve, n\u00e1useas y emesis, cuya frecuencia hab\u00eda aumentado en los \u00faltimos dos meses. Una ecograf\u00eda abdominal mostr\u00f3 ves\u00edcula biliar distendida sin c\u00e1lculos y v\u00edas biliares extrahep\u00e1ticas dilatadas. Se realiz\u00f3 una colangiopancreatograf\u00eda retr\u00f3grada endosc\u00f3pica que revel\u00f3 un conducto pancre\u00e1tico circunferencial en la cabeza del p\u00e1ncreas que rodeaba la segunda porci\u00f3n duodenal. Al inyectar medio de contraste a trav\u00e9s de la papila mayor, se observ\u00f3 su drenaje por un segundo poro adyacente. Ante la sospecha de p\u00e1ncreas anular, se realiz\u00f3 colangiopancreatograf\u00eda por resonancia magn\u00e9tica, donde se encontr\u00f3 un conducto pancre\u00e1tico anular completo. Ante la presencia de s\u00edntomas recurrentes de dolor abdominal, la paciente fue remitida a cirug\u00eda hepatobiliar para manejo quir\u00fargico definitivo.\nConclusiones. El p\u00e1ncreas anular es un diagn\u00f3stico a considerar en adultos en caso de dolor epig\u00e1strico asociado a s\u00edntomas inespec\u00edficos. Los avances de los m\u00e9todos de im\u00e1genes hacen que su diagn\u00f3stico sea oportuno. A pesar de no existir directrices sobre el tratamiento, este debe individualizarse caso a caso.<\/jats:p>","DOI":"10.52787\/agl.v55i1.424","type":"journal-article","created":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T20:27:13Z","timestamp":1743452833000},"source":"Crossref","is-referenced-by-count":0,"title":["P\u00e1ncreas anular en adultos. Reporte de caso"],"prefix":"10.52787","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3941-0704","authenticated-orcid":false,"given":"Hernando","family":"Marulanda-Fernandez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2735-2922","authenticated-orcid":false,"given":"Juan Sebasti\u00e1n","family":"Fr\u00edas-Ordo\u00f1ez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6825-9014","authenticated-orcid":false,"given":"William","family":"Otero-Regino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"30608","published-online":{"date-parts":[[2025,3,31]]},"container-title":["Acta Gastroenterol\u00f3gica Latinoamericana"],"original-title":[],"link":[{"URL":"http:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/download\/424\/825","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/download\/424\/847","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/download\/424\/847","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T20:27:37Z","timestamp":1743625657000},"score":1,"resource":{"primary":{"URL":"http:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/view\/424"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,31]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,3,31]]}},"URL":"https:\/\/doi.org\/10.52787\/agl.v55i1.424","relation":{},"ISSN":["2469-1119"],"issn-type":[{"type":"print","value":"2469-1119"}],"subject":[],"published":{"date-parts":[[2025,3,31]]}}}