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Surgical Case Reports
Fig. 2 | Surgical Case Reports

Fig. 2

From: Acute peritonitis caused by the acute pancreatitis of an ectopic pancreas in a jejunal duplication, in an adult with intestinal malrotation: a case report

Fig. 2

Scheme of intraoperative findings. a Preoperative image. Intra-abdominal abscess was observed between the tip of duplication and the gallbladder (the area that has been dotted circled). A 12-cm jejunal duplication was found on the opposite side of the mesentery, located 100 cm distal to the descending part of the duodenum. The tip of the duplication was swollen. Additionally, cord-like tissue was found between the duodenum and the ascending colon. The ligament of Treitz was absent, and the cecum and ascending colon were not fixed to the retroperitoneum. Partial resection of the jejunum including the jejunal duplication was performed. The Ladd’s procedure, including release of the Ladd’s band, repositioning of the duodenal flexure and appendectomy, was performed (red line). The ectopic pancreas is in the tip of the duplication (the area that has been circled). b Postoperative image

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