{"entities":{"Q46347":{"pageid":36718,"ns":120,"title":"Item:Q46347","lastrevid":180341,"modified":"2026-08-13T14:52:17Z","type":"item","id":"Q46347","labels":{"mul":{"language":"mul","value":"LB21.0"},"pt-br":{"language":"pt-br","value":"P\u00e2ncreas anular"},"en":{"language":"en","value":"Annular pancreas"}},"descriptions":{"pt-br":{"language":"pt-br","value":"P\u00e2ncreas anular \u00e9 uma forma distinta de atresia duodenal em que a cabe\u00e7a do p\u00e2ncreas forma um anel em torno da segunda por\u00e7\u00e3o do duodeno. Durante o per\u00edodo neonatal, o quadro cl\u00ednico \u00e9 dominado por distens\u00e3o epig\u00e1strica com v\u00f4mitos, que s\u00e3o n\u00e3o biliares pois a obstru\u00e7\u00e3o costuma ser supra-vacteriana. Anormalidades cromoss\u00f4micas est\u00e3o presentes em um ter\u00e7o dos casos de p\u00e2ncreas anular, com a trissomia do 21 (seguida pela trissomia do 18 e 13) sendo a anomalia mais frequentemente detectada. O p\u00e2ncreas anular \u00e9 uma embriopatia resultante de uma anomalia que ocorre no in\u00edcio (por volta da quarta semana) no desenvolvimento."},"en":{"language":"en","value":"Annular pancreas is a distinct form of duodenal atresia in which the head of the pancreas forms a ring around the second portion of the duodenum. During the neonatal period, the clinical picture is dominated by epigastric distension with vomiting, which is nonbilious as the obstruction is usually supra-vaterian. Chromosomal abnormalities are present in one-third of cases of annular pancreas, with trisomy 21 (followed by trisomy 18 and 13) being the most frequently detected anomaly. Annular pancreas is an embryopathy resulting from an anomaly occurring early (towards the fourth week) in development."}},"aliases":{},"claims":{"P68":[{"mainsnak":{"snaktype":"value","property":"P68","hash":"74ac81841820517eec7d93a3ded2b26aebedc951","datavalue":{"value":"https://id.who.int/icd/entity/1311285827","type":"string"},"datatype":"url"},"type":"statement","id":"Q46347$FCDBDBC8-F694-4CB4-989F-CFED7127FE04","rank":"normal"}],"P67":[{"mainsnak":{"snaktype":"value","property":"P67","hash":"0528178d4c561bf7009d06ad722cfc3543b157a8","datavalue":{"value":"CID11:LB21.0","type":"string"},"datatype":"string"},"type":"statement","id":"Q46347$77F5C66F-0AA8-4B74-A60C-257D9DF50D88","rank":"normal"}],"P70":[{"mainsnak":{"snaktype":"value","property":"P70","hash":"e7092d223069e699ad941dc85107880cc2385b1e","datavalue":{"value":"dki-india-LB21.0","type":"string"},"datatype":"string"},"type":"statement","id":"Q46347$A150E83F-F941-4876-9AB6-FDAF68038A3C","rank":"normal"}],"P86":[{"mainsnak":{"snaktype":"value","property":"P86","hash":"a96031634b9f5dafddaf781bbba3adea6bb64ef4","datavalue":{"value":"Conclu\u00eddo","type":"string"},"datatype":"string"},"type":"statement","id":"Q46347$16D0CFCD-59A6-4CD6-91F2-22FB77E2E0D0","rank":"normal"}],"P78":[{"mainsnak":{"snaktype":"value","property":"P78","hash":"5f9b5be68b7400da549761cf15abfdbc4d1e075b","datavalue":{"value":"https://pauloleads.com.br/cases-publicos/","type":"string"},"datatype":"url"},"type":"statement","id":"Q46347$489B7968-A851-4F29-B90F-9DB77BE96D84","rank":"normal"}],"P80":[{"mainsnak":{"snaktype":"value","property":"P80","hash":"92b8222fcbb75718504f915073a3f43bd4003d18","datavalue":{"value":{"time":"+2026-08-13T00:00:00Z","timezone":0,"before":0,"after":0,"precision":11,"calendarmodel":"http://www.wikidata.org/entity/Q1985727"},"type":"time"},"datatype":"time"},"type":"statement","id":"Q46347$728D0FC7-BFE0-49FF-956B-2CB3EC09911F","rank":"normal"}],"P89":[{"mainsnak":{"snaktype":"value","property":"P89","hash":"fad74fbf1661a11c842e707089f0e2631f1bafed","datavalue":{"value":{"entity-type":"item","numeric-id":451,"id":"Q451"},"type":"wikibase-entityid"},"datatype":"wikibase-item"},"type":"statement","id":"Q46347$D4E964A5-BDB1-4151-A42E-EEB1EBC32F88","rank":"normal"}]},"sitelinks":{}}}}