Periduodenal Tuberculosis masquerading as Annular Pancreas

Authors: Ongeti K1 BSc, MBChB, Msc (Anat), Pulei A1 BSc, MBChB, Mandela P1 MBChB, MMed, MPH, Kimpiatu P2 MBChB,

MMed. Affi liations: 1. School of Medicine, University of Nairobi, 2. PCEA Kikuyu hospital, Kikuyu. Correspondence to Dr. Kevin

Ongeti, University of Nairobi. PO Box 30197 00100 Nairobi. E-mail:



Gastrointestinal tuberculosis is common in Africa. Nonetheless, isolated duodenal involvement is rare, and is more likely to mimic other causes of duodenal obstruction. We report a patient who succumbed to an isolated mid duodenal tuberculosis, diagnosed at laparatomy, whose clinical presenta-tion, endoscopy and computerised tomography scans resembled annular pancreas. The limitations of clinical evaluation, endoscopy and radiology are highlighted as the importance of diagnostic laparoscopy is emphasized.


The Annals of African Surgery is the official publication of the Surgical Society of Kenya.


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