Annular pancreas in adults: single unit experience from a tertiary care centre of Northern India

Annular pancreas is a rare congenital anomaly which usually presents with gastrointestinal symptoms early in life. In adults mostly it remains asymptomatic or may present with abdominal or features of duodenal obstruction the increased diagnosis of which is attributed to the improved imaging modalities. We hereby report our experience of adult annular pancreas in whom clinical presentation initially mimicked gastric or duodenal outlet obstruction. Adult annular pancreas was diagnosed with the aid of computed tomography of the abdomen and treated successfully with Roux-en-Y isoperistaltic gastrojejunostomy.

Primary Non- Hodgkin’s lymphoma of ovary – An uncommon ovarian mass in a nine year old child.

Primary lymphomas of the ovary are extremely rare; their definitive diagnosis requires correlation of the clinical, radiological, and pathological findings. Secondary ovarian lymphomas are well known. We report a case of primary Non-Hodgkin’s Lymphoma of ovary in a 9 year old female child with unilateral involvement, which was managed by salpingo-opherectomy and chemotherapy. Computed tomography revealed a large abdominal pelvic mass, without associated loco-regional or distant lymphadenopathy. The diagnosis of malignant lymphoma was established by histological study of the excised tissue. The case is rare because of its primary nature and location in this age group. Prognosis of primary ovarian lymphoma is the same as that of other primary nodal lymphomas. The authors aim to highlight the importance of considering this as a differential diagnosis in appropriate clinico-radiological scenario.