Pancreas rotation anomaly with intestinal malrotation

The pancreas evolves from two origins, called the dorsal and ventral buds. While the posterior part of the pancreatic head and uncinate process develop from the ventral bud, the dorsal bud forms the anterior head, body and tail (1). Incomplete maturation of the pancreas during embryogenesis results in variations and anomalies. Meanwhile, the intestines are positioned by various rotations in the abdomen. If these rotations are also disrupted, pancreatic and intestinal malrotation can occur together (2). With widespread use of imaging methods, incidental adult intestinal and pancreas malrotation are found much more than previously known. The most common congenital pancreatic ductal anatomic variant is the pancreas divisum that arises from failure of the dorsal and ventral pancreatic ducts (3,4). Another commonly seen rotation anomaly is annular pancreas in which a part of the pancreatic tissue surrounds the descending duodenum and continues with the head of the pancreas (4)W