Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with symptoms suggestive of duodenal obstruction, including postprandial epigastric pain, nausea, and non-bilious or bilious vomiting. History is significant for early satiety and weight loss. Symptoms are consistent with partial annular pancreas causing extrinsic compression of the second portion of the duodenum.
Clinical Examination Findings
Abdominal examination reveals epigastric fullness or distension. Bowel sounds may be hyperactive or diminished depending on the degree of obstruction. Tenderness in the epigastrium may be present. Absence of jaundice or palpable masses unless associated with complications.
Treatment Protocol
Management involves surgical bypass (duodenojejunostomy or duodenoduodenostomy) if obstruction is symptomatic. Conservative management with small, frequent feedings and prokinetics may be attempted in mild cases. Monitor for electrolyte imbalances and nutritional deficiencies.