Evidence map›Paper›PMID 40642593›Full record

ArticleClinical case reports2025

"Partial Annular Pancreas Causing Obstruction of the First Part of the Duodenum: An Exceedingly Rare Conundrum-A Rare Case Report and Comprehensive Literature Review".

Saurav Jha, Sabin Luitel, Niraj Kushwaha, Sweta Singh, Sulav Kumar Jha

Abstract read
In one paragraph

Article in Clinical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Saurav JhaDepartment of Radiology Patan Academy of Health Sciences Kathmandu Nepal.ORCID https://orcid.org/0000-0001-7967-0039
Sabin LuitelDepartment of Radiology Patan Academy of Health Sciences Kathmandu Nepal.ORCID https://orcid.org/0009-0006-5280-3114
Niraj KushwahaChitwan Medical College Chitwan Nepal.
Sweta SinghB.P Koirala Institute of Health Sciences Dharan Nepal.
Sulav Kumar JhaManipal College of Medical Sciences Pokhara Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The annular pancreas is one of the very few congenital anomalies associated with gastric outlet obstruction. Usually, it is associated with obstruction of the second part of the duodenum, but to the authors' knowledge, this is the first reported case of the partial annular pancreas obstructing the first part of the duodenum, leading to late presentation of gastric outlet obstruction. As clinicians, we should be vigilant about the causes of abdominal fullness and pain and consider the annular pancreas an important differential diagnosis. It also challenges our predetermined concept of obstruction of the second part of the duodenum secondary to the annular pancreas. Even though the annular pancreas rarely obstructs the first part of the duodenum, it should always be kept in the back of our mind while diagnosing and managing elderly patients presenting with features of gastric outlet obstruction. This paper highlights the atypical presentation of the annular pancreas and how appropriate radiological investigation can clinch the uncommon diagnosis and help in the appropriate management.

Indexed as

annular pancreascase reportsduodenum

Identifiers

PMID40642593
PMCPMC12241675

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