• Partial or complete circumferential encasement of 2nd part of the duodenum by a band of pancreatic tissue
  • Prevalence: 3 per 20,000
  • Aetiology: Migration anomaly – failure of the ventral bud to rotate
  • Clinical: Most remain asymptomatic during lifetime
  • Other possible symptoms:
    • Duodenal constriction – non-bilious vomiting, bloating, feeding intolerance
    • Pancreatitis