Erb’s palsy complicating a case of annular pancreas

We report an unusual presentation of annular pancreas with pneumoperitoneum in a newborn with an associated left sided Erb’s palsy. The neurological deficit caused considerable confusion in the diagnosis and unexpected complications after surgery. We highlight the importance of clinical examination and the complications that an Erb’s palsy can cause. This unusual triad of Erb’s palsy, eventration of diaphragm and annular pancreas has hitherto not been described in literature.

*Corresponding Author: 

Dr. Monika Bawa, Department of Pediatric Surgery, Advanced Pediatric Center, Post Graduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh. Pin 160012, India. Tel.: +91 172 – 2755352, (9815677997); E-mail: