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Gastric Heterotopic Pancreas Presenting as Abdominal Pain with Acute and Chronic Pancreatitis in the Resected Specimen
Joint Authors
Feller, Edward
Wawrzynski, Joseph
Leon, Lauren De
Shah, Samir A.
Adrain, Alyn
Goldstein, Lisa J.
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-03-06
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Heterotopic pancreas, also known as ectopic pancreas, is pancreatic tissue located outside the pancreatic parenchyma without vascular or ductal communication with the gland.
Ectopic pancreas is rarely symptomatic, typically detected incidentally at surgery or autopsy.
Eighty-five to 90% are in the upper GI tract, especially the gastric antrum.
We report a 54-year-old man with symptomatic gastric heterotopic pancreas presenting as recurrent, initially undiagnosed, abdominal pain.
Surgery revealed heterotopic pancreas including excretory ducts, acini, and islet cells.
Evidence of acute pancreatitis was present, marked by inflammation and abscess formation.
Chronic pancreatitis was diagnosed by fibrosis and dilated ducts containing proteinaceous material.
Submucosal location with normal overlying mucosa on endoscopy increases risks of delayed or missed diagnosis.
Complications include GI bleeding, acute or chronic pancreatitis, pancreatic necrosis, pseudocyst, gastric outlet obstruction, perforation, and, rarely, pancreatic carcinoma.
This rare disorder mimics more common diseases.
Low suspicion, nondiagnostic imaging or endoscopy contribute to frequent diagnostic delay.
American Psychological Association (APA)
Wawrzynski, Joseph& Leon, Lauren De& Shah, Samir A.& Adrain, Alyn& Goldstein, Lisa J.& Feller, Edward. 2019. Gastric Heterotopic Pancreas Presenting as Abdominal Pain with Acute and Chronic Pancreatitis in the Resected Specimen. Case Reports in Gastrointestinal Medicine،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1136144
Modern Language Association (MLA)
Wawrzynski, Joseph…[et al.]. Gastric Heterotopic Pancreas Presenting as Abdominal Pain with Acute and Chronic Pancreatitis in the Resected Specimen. Case Reports in Gastrointestinal Medicine No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1136144
American Medical Association (AMA)
Wawrzynski, Joseph& Leon, Lauren De& Shah, Samir A.& Adrain, Alyn& Goldstein, Lisa J.& Feller, Edward. Gastric Heterotopic Pancreas Presenting as Abdominal Pain with Acute and Chronic Pancreatitis in the Resected Specimen. Case Reports in Gastrointestinal Medicine. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1136144
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1136144